Individual
JACQUELINE N ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
9135 PISCATAWAY ROAD, SUITE 340, CLINTON, MD 20735
(301) 868-0400
(301) 868-9000
Mailing address
9135 PISCATAWAY ROAD, SUITE 340, CLINTON, MD 20735
(301) 868-0400
(301) 868-9000
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0701006398
VA
101YP2500X
Professional Counselor
Primary
LC5376
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
R-262-356-622-254
DRIVERS LICENSE
MD
Enumeration date
11/02/2013
Last updated
04/02/2019
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