Individual
SUSAN ROGGENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHP, LMHC, LPC
Contact information
Practice address
2435 KIMBERLY RD STE 270, BETTENDORF, IA 52722-3509
(563) 219-7700
Mailing address
1312 CHATEAU KNLS, BETTENDORF, IA 52722-3417
(632) 102-3595
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
072145
IA
101YP2500X
Professional Counselor
178.010927
IL
Other
Enumeration date
05/27/2015
Last updated
04/05/2025
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