Individual provider · Type 1 NPI

Dominic Deon Rogers

Mental Health Counselor · Conway, SC

NPI number 1831450154 Active

Practice location

164 Waccamaw Medical Park Dr
Conway, SC 29526-8903

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1831450154

Dominic Deon Rogers's National Provider Identifier is 1831450154, issued on Jun 4, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Conway, SC. The record was last updated on Jun 4, 2012.