Provider Demographics
NPI:1639144876
Name:RODGERS, SANDEE JEAN (BA MHP)
Entity Type:Individual
Prefix:MRS
First Name:SANDEE
Middle Name:JEAN
Last Name:RODGERS
Suffix:
Gender:F
Credentials:BA MHP
Other - Prefix:MS
Other - First Name:SANDEE
Other - Middle Name:JEAN
Other - Last Name:ENGLES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:609 A NORTH SHORE DR
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-4414
Mailing Address - Country:US
Mailing Address - Phone:360-676-6000
Mailing Address - Fax:360-676-6006
Practice Address - Street 1:609 NORTH SHORE DR
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-4414
Practice Address - Country:US
Practice Address - Phone:360-676-6000
Practice Address - Fax:360-676-6006
Is Sole Proprietor?:No
Enumeration Date:2006-02-21
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00014072101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor