MEDICARE: MR. TERRILL DEAN ROGERS MA, LPC, CACIII

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor
2	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1033245444
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. TERRILL DEAN ROGERS MA, LPC, CACIII

Provider Business Mailing Address
First Line	:	1210 SUNSET RD
Second Line	:
City	:	HOOD RIVER
State	:	OR
Zip	:	97031-9716
Country	:	US
Telephone Number	:	303-908-5992
Fax Number	:

Provider Business Practice Location Address
First Line	:	1060 WEBBER ST
Second Line	:
City	:	THE DALLES
State	:	OR
Zip	:	97058-3749
Country	:	US
Telephone Number	:	541-296-5452
Fax Number	:	541-296-1537

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	02/03/2025

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