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Individual

BRIAN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MA, LMHC

Contact information

Practice address
1110 GOLF CLUB RD SE STE 101, LACEY, WA 98503-2302
(564) 201-8931
Mailing address
106 EDWARDS ST SW, YELM, WA 98597-9738
(564) 201-8931

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61395742
WA
101YM0800X
Mental Health Counselor
Primary
MHC.LH.70048617
WA

Other

Enumeration date
01/16/2023
Last updated
03/12/2026
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