Provider Demographics
NPI:1871724815
Name:ROGERS, CHRISTI MARIE (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:CHRISTI
Middle Name:MARIE
Last Name:ROGERS
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 GRAHAM AVE
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-9617
Mailing Address - Country:US
Mailing Address - Phone:407-353-3218
Mailing Address - Fax:
Practice Address - Street 1:51 GRAHAM AVE
Practice Address - Street 2:
Practice Address - City:OVIEDO
Practice Address - State:FL
Practice Address - Zip Code:32765-9617
Practice Address - Country:US
Practice Address - Phone:407-353-3218
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-06
Last Update Date:2009-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9806101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health