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NPI Code Detail

MEDICARE: KAREN MAUREEN ROGERS MFT

MEDICARE:   KAREN MAUREEN ROGERS  MFT
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
1106H00000XMarriage & Family TherapistMFT23165CA

General Provider Information

NPI Number : 1275060808
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN MAUREEN ROGERS MFT
Provider Business Mailing Address
First Line : 1637 IRVING ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-1813
Country : US
Telephone Number : 415-661-9060
Fax Number :
Provider Business Practice Location Address
First Line : 1637 IRVING ST
Second Line :
City : SAN FRANCISCO
State : CA
Zip : 94122-1813
Country : US
Telephone Number : 415-661-9060
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2017
Last Update Date : 05/14/2017

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Directions to “ KAREN MAUREEN ROGERS MFT” Practice Location

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