Provider Demographics
NPI:1033245444
Name:ROGERS, TERRILL DEAN (MA, LPC, CACIII)
Entity type:Individual
Prefix:MR
First Name:TERRILL
Middle Name:DEAN
Last Name:ROGERS
Suffix:
Gender:M
Credentials:MA, LPC, CACIII
Other - Prefix:
Other - First Name:TERRY
Other - Middle Name:
Other - Last Name:ROGERS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1210 SUNSET RD
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-9716
Mailing Address - Country:US
Mailing Address - Phone:303-908-5992
Mailing Address - Fax:
Practice Address - Street 1:1060 WEBBER ST
Practice Address - Street 2:
Practice Address - City:THE DALLES
Practice Address - State:OR
Practice Address - Zip Code:97058-3749
Practice Address - Country:US
Practice Address - Phone:541-296-5452
Practice Address - Fax:541-296-1537
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2025-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)