Individual
MS. KATRINA L RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I
Contact information
Practice address
365 NE COURT ST, PRINEVILLE, OR 97754-1936
(541) 416-1095
(541) 447-6694
Mailing address
365 NE COURT ST, PRINEVILLE, OR 97754-1936
(541) 416-1095
(541) 447-6694
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10-12-39
THE ADDICTION COUSELOR CERTIFICATION BOARD OF OREGON
OR
Enumeration date
03/02/2011
Last updated
03/02/2011
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