Individual
KRISTEN NICOLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
648 MONROE AVE NW, SUITE 216, GRAND RAPIDS, MI 49503-1452
(616) 916-3711
Mailing address
648 MONROE AVE NW STE 100, GRAND RAPIDS, MI 49503-6714
(616) 916-3711
(616) 825-6015
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
L2285555
MI
Other
Enumeration date
03/08/2013
Last updated
08/21/2019
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