Provider Demographics
NPI:1508317488
Name:ROGERS, BRIANNA ASHLIE (AS, CADC-CAS)
Entity Type:Individual
Prefix:MRS
First Name:BRIANNA
Middle Name:ASHLIE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:AS, CADC-CAS
Other - Prefix:MS
Other - First Name:BRIANNA
Other - Middle Name:ASHLIE
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:AS, CADC-CAS
Mailing Address - Street 1:2731 W OLIVE AVE
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93728-2449
Mailing Address - Country:US
Mailing Address - Phone:559-233-5096
Mailing Address - Fax:
Practice Address - Street 1:2731 W OLIVE AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93728-2449
Practice Address - Country:US
Practice Address - Phone:559-233-5096
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-10-17
Last Update Date:2019-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)