Individual
MARTINA NICOLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
430 OZARK RD, ABBEVILLE, AL 36310-2600
(334) 797-9131
Mailing address
PO BOX 311206, ENTERPRISE, AL 36331-1206
(334) 797-9131
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/06/2023
Last updated
02/06/2023
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