Individual
MR. ROBERT JOHN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LSW LADC
Contact information
Practice address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8311
(207) 474-5148
Mailing address
5 COMMERCE DR, SKOWHEGAN, ME 04976-4823
(207) 474-8311
(207) 474-5148
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LS5898
ME
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LC4061
ME
Other
Enumeration date
12/15/2006
Last updated
01/19/2012
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