Individual
MICHELLE LYNN ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
2310 W BROADWAY ST, MUSKOGEE, OK 74401-2761
(918) 682-7210
(918) 682-8513
Mailing address
PO BOX 1267, MUSKOGEE, OK 74402-1267
(918) 682-7210
(918) 682-8513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/04/2013
Last updated
11/18/2015
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