Individual
MS. JENNIFER DANIELLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCPC, NCC
Contact information
Practice address
7237 W POTOMAC DR STE 210, BOISE, ID 83704-9146
(208) 740-1284
(208) 906-0815
Mailing address
7237 W POTOMAC DR STE 210, BOISE, ID 83704-9146
(208) 740-1284
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-9126
ID
101YM0800X
Mental Health Counselor
LPC-23362
AZ
101YP2500X
Professional Counselor
Primary
LCPC-9126
ID
101YP2500X
Professional Counselor
LPC-23362
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1073126397
—
ID
Enumeration date
08/26/2020
Last updated
06/25/2025
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