Whalio Doctors

NPI 1396362349

Hailey Rodgers, CPRS

Practitioner Peer Specialist Johnson City, TN

Practice location

Address
2408 Susannah St STE 1, Johnson City, TN 37601-1765
Phone
(423) 434-6677
Fax
(423) 461-0000
Mailing address
504 Beechwood Dr, Kingsport, TN 37663-2455

Registered specialties (2)

Peer Specialist Primary
Other Service Providers Taxonomy 175T00000X Licence 1234 (TN)
Counselor
Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 1234 (TN)

Registry record

NPI
1396362349
Entity type
Individual
Sex (as registered)
Female
NPI issued
25 Jun 2020
Record last updated
25 Jun 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.