Provider Demographics
NPI:1790960680
Name:RODGERS, HOANG OANH LEOTE (LPC, LMFT,CSAC)
Entity Type:Individual
Prefix:MRS
First Name:HOANG OANH
Middle Name:LEOTE
Last Name:RODGERS
Suffix:
Gender:F
Credentials:LPC, LMFT,CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3340 WOODBURN RD
Mailing Address - Street 2:
Mailing Address - City:ANNANDALE
Mailing Address - State:VA
Mailing Address - Zip Code:22003-1202
Mailing Address - Country:US
Mailing Address - Phone:703-207-7835
Mailing Address - Fax:703-280-9518
Practice Address - Street 1:1976 WILLIAM ST
Practice Address - Street 2:
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22401-5128
Practice Address - Country:US
Practice Address - Phone:703-409-6258
Practice Address - Fax:540-654-5113
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-09
Last Update Date:2013-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701002418101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional