Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI # | 1114367760 |
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| LBN Legal business name | BRANDY ROGERS, LCPC, LLC | ||||||||
| Authorized official | BRANDY ROGERS - (SOLE MEMBER) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 06/27/2013 | ||||||||
| Last updated | 06/27/2013 - About 13 years ago | ||||||||
| Identifiers |
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