Individual
MICHAEL J ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CASAC, LPC
Contact information
Practice address
2032 E KEARNEY ST STE 214, SPRINGFIELD, MO 65803-4662
(417) 869-0700
(417) 869-0705
Mailing address
2032 E KEARNEY ST STE 214, SPRINGFIELD, MO 65803-4662
(417) 869-0700
(417) 869-0705
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3275
MO
101YP2500X
Professional Counselor
Primary
2004035839
MO
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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