Individual
BURTON ROGERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PLPC
Contact information
Practice address
11100 ASH ST, LEAWOOD, KS 66211-1925
(816) 559-1757
Mailing address
708 E 97TH ST, KANSAS CITY, MO 64131-3243
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2013015659
MO
Other
Enumeration date
10/29/2013
Last updated
08/20/2014
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