Provider Demographics
NPI:1851543425
Name:ROGERS-RADER, CHRISTINE MAE (PHD, LPC, NCC)
Entity Type:Individual
Prefix:DR
First Name:CHRISTINE
Middle Name:MAE
Last Name:ROGERS-RADER
Suffix:
Gender:F
Credentials:PHD, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 MIRANDA CT
Mailing Address - Street 2:
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23663-2051
Mailing Address - Country:US
Mailing Address - Phone:757-927-9898
Mailing Address - Fax:
Practice Address - Street 1:16 MIRANDA CT
Practice Address - Street 2:
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23663-2051
Practice Address - Country:US
Practice Address - Phone:757-927-9898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-15
Last Update Date:2008-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701004117101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health