Individual
JADE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4609 N MARKET ST, STE. A, SHREVEPORT, LA 71107-2900
(318) 626-5462
(318) 626-5562
Mailing address
4609 N MARKET ST, STE. A, SHREVEPORT, LA 71107-2900
(318) 626-5462
(318) 626-5562
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/14/2016
Last updated
06/14/2016
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