Individual provider · Type 1 NPI

Marie Geralyn Rogers

Mental Health Counselor · Fairfield, CA

NPI number 1477857654 Active

Practice location

1735 Enterprise Dr Bldg 1
Fairfield, CA 94533-6822

Call (707) 425-1799 Map

Fax (707) 425-1081

Mailing address

606 Loma Ct
Suisun City, CA 94585-3027

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Behavior Analyst 103K00000XNone listed

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About NPI 1477857654

Marie Geralyn Rogers's National Provider Identifier is 1477857654, issued on Jan 3, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fairfield, CA. The record was last updated on Jan 3, 2011.