Provider Demographics
NPI:1447148895
Name:RODGERS, VALERIE R
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:R
Last Name:RODGERS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1803 N MISSOURI AVE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:NM
Mailing Address - Zip Code:88201-3346
Mailing Address - Country:US
Mailing Address - Phone:575-404-6391
Mailing Address - Fax:
Practice Address - Street 1:1 CAMINO ORO CT
Practice Address - Street 2:
Practice Address - City:TIJERAS
Practice Address - State:NM
Practice Address - Zip Code:87059-7924
Practice Address - Country:US
Practice Address - Phone:505-274-8534
Practice Address - Fax:855-610-2330
Is Sole Proprietor?:No
Enumeration Date:2025-06-25
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171M00000XOther Service ProvidersCase Manager/Care Coordinator
No101Y00000XBehavioral Health & Social Service ProvidersCounselor