Provider Demographics
NPI:1497027312
Name:ROGERS, HOWARD KENNETH (LMFT)
Entity Type:Individual
Prefix:MR
First Name:HOWARD
Middle Name:KENNETH
Last Name:ROGERS
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:527 N LEONA ST
Mailing Address - Street 2:BLDG A, 3RD FLOOR
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78207-3110
Mailing Address - Country:US
Mailing Address - Phone:210-358-9897
Mailing Address - Fax:210-358-9953
Practice Address - Street 1:527 N LEONA ST
Practice Address - Street 2:BLDG A, 3RD FLOOR
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78207-3110
Practice Address - Country:US
Practice Address - Phone:210-358-9897
Practice Address - Fax:210-358-9953
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-08
Last Update Date:2012-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX4961106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist