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Lillian Mia Rogers
Peer Specialist in North Bend, Oregon
NPI 1841065554

Lillian Mia Rogers is a Peer Specialist based in Roseburg, OR. Lillian Mia Rogers practices in North Bend, OR. The NPI Number for Lillian Mia Rogers is 1841065554 and holds a License No. (Oregon).

The current practice location address for Lillian Mia Rogers is 400 Virginia Ave Ste 201, North Bend, OR and can be reached out via phone at 541-751-0357.

Location: 400 Virginia Ave Ste 201, North Bend, OR, 97470-0254
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841065554
Provider Name
Lillian Mia Rogers
Credential
Provider Entity Type
Individual
Gender
Female
Address
400 Virginia Ave Ste 201, North Bend, OR, 97470-0254
Phone Number
541-751-0357
Fax Number
Provider Enumeration Date
11/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
400 Virginia Ave Ste 201
City
North Bend
State
Oregon
Zip
97459-3444
Phone Number
541-751-0357
Fax Number
person
Provider Business Mailing Address Details
Address
400 Virginia Ave Ste 201
City
North Bend
State
Oregon
Zip
97459-3444
Phone Number
541-751-0357
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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