| Brandy Rogers, Lcpc, Llc | |
|
110 Saco Falls Way Biddeford ME 04005-2083 | |
| (207) 749-4620 | |
| Not Available |
| Full Name | Brandy Rogers, Lcpc, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 110 Saco Falls Way, Biddeford, Maine |
| Authorized Official Name and Position | Brandy Rogers (SOLE MEMBER) |
| Authorized Official Contact | 2077494620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brandy Rogers, Lcpc, Llc 110 Saco Falls Way Biddeford ME 04005-2083 Ph: () - | Brandy Rogers, Lcpc, Llc 110 Saco Falls Way Biddeford ME 04005-2083 Ph: (207) 749-4620 |
| NPI Number | 1114367760 |
|---|---|
| Provider Enumeration Date | 06/27/2013 |
| Last Update Date | 06/27/2013 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114367760 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CAC4815 (Maine) | Secondary |
| 101YP2500X | Counselor - Professional | CC4011 (Maine) | Primary |
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