Individual
NICOLE KATELYN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
426 COMMERCE DRIVE, GREENSBURG, KY 42743
(270) 299-2222
(270) 299-2211
Mailing address
PO BOX 1080, BURKESVILLE, KY 42717-1080
(270) 858-6655
(270) 858-4027
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
103576
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30605018
—
KY
05
—
7100289710
—
KY
Enumeration date
02/14/2007
Last updated
06/30/2021
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