Provider Demographics
NPI:1578822664
Name:RODGERS, ANGELINA MARIE (LPC)
Entity Type:Individual
Prefix:MS
First Name:ANGELINA
Middle Name:MARIE
Last Name:RODGERS
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 1:816 BELVEDERE ST
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17013-4001
Mailing Address - Country:US
Mailing Address - Phone:717-243-6500
Mailing Address - Fax:717-267-2316
Practice Address - Street 1:816 BELVEDERE ST
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17013-4001
Practice Address - Country:US
Practice Address - Phone:717-243-6500
Practice Address - Fax:717-267-2316
Is Sole Proprietor?:No
Enumeration Date:2012-05-09
Last Update Date:2015-04-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health