Individual
NICKIE CHALONDA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
529 OXFORD ST STE B, SUMTER, SC 29150-3301
(803) 774-6892
(803) 774-6893
Mailing address
529 OXFORD ST STE B, SUMTER, SC 29150-3301
(803) 774-6892
(803) 774-6893
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
561
SC
101YP2500X
Professional Counselor
Primary
6260
SC
Other
Enumeration date
07/13/2014
Last updated
03/29/2025
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