Most Relevant Information
Provider Data
| NPI Number: | 1003289216 |
| Provider Name: | CHARITY ROGERS LPC, LCDC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | 10433 |
Most Important Dates
| Enumeration Date: | 11/10/2015 |
| Last Updated: | 05/14/2021 |
Provider Practice Location
153 RIDGEWAY CEMETERY ROAD
PAIGE
TX
78659
Practice Location Phone/Fax
| Phone: | 5126607976 |
| Fax: |
Provider Mailing Location
PO BOX 69
PAIGE
TX
786590069
Provider Mailing Phone/Fax
| Phone: | 5122179034 |
| Fax: |