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Individual

ALYSSA LATONIA RODGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
NCC, LCAS-A, IL: LPC

Contact information

Practice address
7512 SPRING SPRUCE LN, CHARLOTTE, NC 28227
(309) 573-5818
Mailing address
7512 SPRING SPRUCE LN, CHARLOTTE, NC 28227-1417
(309) 573-5818

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-24523
NC
101YM0800X
Mental Health Counselor
178.012997
IL
101YM0800X
Mental Health Counselor
Primary
A13964
NC

Other

Enumeration date
06/04/2018
Last updated
07/17/2018
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