Individual
MR. CASEY PAUL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,MDIV,LPC.
Contact information
Practice address
2032 E. KEARNEY, SUITE 214, SPRINGFIELD, MO 65802
(417) 269-7254
Mailing address
2032 E. KEARNEY, SUITE 214, SPRINGFIELD, MO 65802
(417) 269-7254
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2003013934
MO
Other
Enumeration date
05/02/2007
Last updated
09/01/2009
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