Organization
MODERN COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA NICOLE RODGERS ED.S, M.ED, LCMHC (OWNER/COUNSELOR)
(561) 212-6651
Entity
Organization
Contact information
Practice address
#1097 8322 PINEVILLE MATTHEWS ROAD STE 602, CHARLOTTE, NC 28226
(704) 709-5351
Mailing address
4832 N CLARK ST APT 109, CHICAGO, IL 60640-4731
(561) 212-6651
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
10/14/2022
Last updated
10/14/2022
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