| Rogers Counseling Center, Llc | |
|
14165 James Rd Suite 200 Rogers MN 55374-9317 | |
| (763) 428-6330 | |
| Not Available |
| Full Name | Rogers Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 14165 James Rd, Rogers, Minnesota |
| Authorized Official Name and Position | Teresa Mori George (PRESIDENT, OWNER) |
| Authorized Official Contact | 7634286330 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Rogers Counseling Center, Llc 21000 Rogers Dr Suite 200 Rogers MN 55374-4652 Ph: (763) 428-6330 | Rogers Counseling Center, Llc 14165 James Rd Suite 200 Rogers MN 55374-9317 Ph: (763) 428-6330 |
| NPI Number | 1285740217 |
|---|---|
| Provider Enumeration Date | 08/22/2006 |
| Last Update Date | 10/05/2010 |
| Medicare PECOS PAC ID | 3678588399 |
|---|---|
| Medicare Enrollment ID | O20060215000839 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285740217 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 4775 (Minnesota) | Primary |
| Provider Name | Rebekah A Mcnattin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932592706 PECOS PAC ID: 6305156423 Enrollment ID: I20151102001963 |
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