Individual
SHALENE ROGG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S
Contact information
Practice address
70 N MCCLINTOCK DR STE 4, CHANDLER, AZ 85226-3711
(480) 464-4431
Mailing address
3835 N FREEWAY BLVD STE 100, SACRAMENTO, CA 95834-1954
(855) 501-1004
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-20422
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-20422
STATE OF ARIZONA BOARD OF BEHAVIORAL HEALTH EXAMINERS
AZ
Enumeration date
11/12/2021
Last updated
04/29/2026
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