Individual
ALYSE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
1030 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 310-9046
Mailing address
1030 VILLAGE DR, WATKINSVILLE, GA 30677-6004
(706) 310-9046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005339
GA
Other
Enumeration date
01/06/2017
Last updated
01/06/2017
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