Individual
MR. KEVIN FRANCIS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LADC1, ASSOC. COUN
Contact information
Practice address
3 CLOUGH ST, LYNN, MA 01902-2609
(781) 596-1458
Mailing address
3 CLOUGH ST, LYNN, MA 01902-2609
(781) 596-1458
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1830
MA
Other
Enumeration date
05/06/2007
Last updated
07/08/2007
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