Rogers, Jacqueline N

Rogers, Jacqueline N is an individual health care provider with primary practice located at 9135 Piscataway Road Suite 340, Clinton MD 20735. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Rogers, Jacqueline N can be contacted via phone (301) 868-0400.

Contact Information

Primary practice address
9135 Piscataway Road Suite 340 Clinton MD 20735
Fax: (301) 868-9000
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 0701006398 Virginia
Behavioral Health & Social Service Providers / Professional 101YP2500X LC5376 Maryland

Profile Details

NPI number 1558790360
LBN Legal business name Rogers, Jacqueline N
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 2nd, 2013
Last updated Apr 2nd, 2019 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558790360 NPPES
Maryland Other R-262-356-622-254 DRIVERS LICENSE

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