Individual
MS. ALYSSA DIANNE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
718 S 7TH AVE, CALDWELL, ID 83605-4104
(208) 800-8286
Mailing address
6120 SYDNEY CIR, NAMPA, ID 83687-9273
(208) 800-8286
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
5563
ID
Other
Enumeration date
01/10/2022
Last updated
02/13/2022
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