Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP1600X | Pastoral Counselor | PRC1352 | DC |
NPI | 1174514301 |
---|---|
Provider Name | Ms. Charlotte M. Rogers |
First Address | Germantown, MD 20874-1157 |
Second Address | Washington, DC 20017-2615 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/11/2005 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
35179 | NATIONAL COUNSELOR (01) | |
LC0860 | LICENSED COUNSELOR (01) | MD |
PRC1352 | LICENSED COUNSELOR (01) | DC |