Individual
KENDRICK ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3151 KNIGHTSBRIDGE CURV, MONTGOMERY, AL 36111-1205
(864) 986-9685
Mailing address
3151 KNIGHTSBRIDGE CURV, MONTGOMERY, AL 36111-1205
(864) 986-9685
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC05336
AL
101YP2500X
Professional Counselor
Primary
LPC05336
AL
225C00000X
Rehabilitation Counselor
00308022
AL
Other
Enumeration date
07/17/2024
Last updated
07/31/2024
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