Individual
ANDELYN ROBERTS ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ACMHC
Contact information
Practice address
10730 S LAKE RUN RD UNIT 3318, SOUTH JORDAN, UT 84009-1872
(385) 201-7036
Mailing address
10730 S LAKE RUN RD UNIT 3318, SOUTH JORDAN, UT 84009-1872
(385) 201-7036
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
14259874-6009
UT
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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