Individual provider · Type 1 NPI

Nicole Rogers, LISAC

Addiction (Substance Use Disorder) Counselor · Phoenix, AZ

NPI number 1265838890 Active

Practice location

3222 N 37th St
Phoenix, AZ 85018-6304

Fax (602) 599-5854

Mailing address

3710 W Greenway Rd Ste 104
Phoenix, AZ 85053-3729

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1265838890

Nicole Rogers, LISAC's National Provider Identifier is 1265838890, issued on Nov 10, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Phoenix, AZ. The record was last updated on Sep 29, 2021.