Individual
MICHELLE LYNNE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.P.C.
Contact information
Practice address
2211 CHARLOTTE, KANSAS CITY, MO 64108
(816) 404-5103
Mailing address
607 COTTONWOOD LANE, LIBERTY, MO 64068
(816) 792-2623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2001018061
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
495699704
—
MO
Enumeration date
05/04/2007
Last updated
12/22/2020
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