Individual
JESSICA R. ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCA
Contact information
Practice address
901 BEAUTY AVE, BOWLING GREEN, KY 42101-6135
(270) 599-1034
Mailing address
218 COLLEGE ST, BOWLING GREEN, KY 42101-1228
(270) 991-5114
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
272282
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100762570
—
KY
Enumeration date
10/18/2021
Last updated
10/18/2021
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