MEDICARE: APRIL ELAINE RODGERS LMFT

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	171M00000X	Case Manager/Care Coordinator
2	106H00000X	Marriage & Family Therapist	250	CO

General Provider Information

NPI Number	:	1871729913
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APRIL ELAINE RODGERS LMFT

Provider Business Mailing Address
First Line	:	6160 MISSION GORGE RD STE 108
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-3425
Country	:	US
Telephone Number	:	720-327-0403
Fax Number	:	303-764-6271

Provider Business Practice Location Address
First Line	:	6160 MISSION GORGE RD STE 108
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92120-3425
Country	:	US
Telephone Number	:	619-481-5200
Fax Number	:

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

Provider Enumeration Date	:	06/03/2009
Last Update Date	:	03/12/2021

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