Provider Demographics
NPI:1497409320
Name:ROGERS, MARIA DAWSON (LPC)
Entity Type:Individual
Prefix:PROF
First Name:MARIA
Middle Name:DAWSON
Last Name:ROGERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 HILLYER HIGH RD
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-6245
Mailing Address - Country:US
Mailing Address - Phone:256-741-8200
Mailing Address - Fax:
Practice Address - Street 1:400 HILLYER HIGH RD
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-6245
Practice Address - Country:US
Practice Address - Phone:256-741-8200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-09
Last Update Date:2022-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2789101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health