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Individual

MRS. LISA ELLEN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.A.,LMFT,LPC,LPCC

Contact information

Practice address
245 5TH AVE FL 3, NEW YORK, NY 10016-8728
(646) 599-3865
Mailing address
208 E 51ST ST # 264, NEW YORK, NY 10022-6557
(646) 599-3865

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0137111
NM
101YP2500X
Professional Counselor
178000647
IL
101YP2500X
Professional Counselor
19332
TX
106H00000X
Marriage & Family Therapist
Primary
001034
NY
106H00000X
Marriage & Family Therapist
100.0130890
VT
106H00000X
Marriage & Family Therapist
201088
TX
106H00000X
Marriage & Family Therapist
37FI00197100
NJ
106H00000X
Marriage & Family Therapist
43013
CA
106H00000X
Marriage & Family Therapist
MFT001927
GA
106H00000X
Marriage & Family Therapist
MT3903
FL

Other

Enumeration date
04/30/2012
Last updated
04/16/2023
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