Individual
LASHAWN MONIQUE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, BA, CIT-AD
Contact information
Practice address
1045 TAYLOR AVE STE 10, TOWSON, MD 21286-8328
(410) 617-0280
(410) 323-3544
Mailing address
1045 TAYLOR AVE STE 10, TOWSON, MD 21286-8328
(410) 617-0280
(410) 323-3544
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ADT1290
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
822572875
—
MD
Enumeration date
06/28/2018
Last updated
06/28/2018
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