Individual
KELLY ROGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
101 W RIDGELY RD STE 8A, LUTHERVILLE, MD 21093-5124
(410) 870-4655
Mailing address
101 W RIDGELY RD STE 8A, LUTHERVILLE, MD 21093-5124
(410) 870-4655
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LGP10484
MD
101YP2500X
Professional Counselor
Primary
LC14577
MD
Other
Enumeration date
01/31/2021
Last updated
11/15/2023
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