Individual
MS. CYNTHIA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LCAS, CCS
Contact information
Practice address
302 EAST THIRD ST, PEMBROKE, NC 28372-2883
(910) 521-1464
(910) 521-1852
Mailing address
2501 E ELIZABETHTOWN RD, LUMBERTON, NC 28358-3225
(910) 738-7880
(910) 738-7882
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
973
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6111874
—
NC
Enumeration date
03/14/2007
Last updated
06/24/2016
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