Individual
KELENE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
4386 AUTUMN JOY ST, GALESBURG, MI 49053-7700
(692) 491-7394
Mailing address
PO BOX 581, RICHLAND, MI 49083-0581
(269) 491-7394
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401014210
MI
101YP2500X
Professional Counselor
6401014210
MI
Other
Enumeration date
04/11/2014
Last updated
11/05/2021
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