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Individual

DR. CAROLYN A. ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
2065 DELTA WAY # 1, TALLAHASSEE, FL 32303-4227
(850) 656-1822
(850) 656-2905
Mailing address
2065 DELTA WAY # 1, TALLAHASSEE, FL 32303-4227
(850) 656-1822
(850) 656-2905

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
004165
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
Z7910
BLUE CROSS BLUE FIELD
FL
Enumeration date
11/21/2006
Last updated
07/08/2007
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