Individual
MS. DEBRA MARY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
24 SALT POND RD STE H1, WAKEFIELD, RI 02879-4337
(401) 789-3694
(401) 789-3748
Mailing address
24 SALT POND RD SUITE H1, WAKEFIELD, RI 02904-5762
(401) 789-3694
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
MHC01102
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0032558
—
RI
Enumeration date
09/11/2017
Last updated
05/14/2025
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