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NPI Code Detail

MEDICARE: MRS. SANDEE JEAN RODGERS BA MHP

MEDICARE: MRS. SANDEE JEAN RODGERS BA MHP
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
1101Y00000XCounselorRC00014072WA

General Provider Information

NPI Number : 1639144876
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SANDEE JEAN RODGERS BA MHP
Provider Business Mailing Address
First Line : 609 A NORTH SHORE DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-4414
Country : US
Telephone Number : 360-676-6000
Fax Number : 360-676-6006
Provider Business Practice Location Address
First Line : 609 NORTH SHORE DR
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-4414
Country : US
Telephone Number : 360-676-6000
Fax Number : 360-676-6006
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2006
Last Update Date : 11/02/2009

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