Individual
JORDYN ROGGENKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
5147 44TH ST S # 5, FARGO, ND 58104-6069
(701) 369-3181
Mailing address
3680 42ND ST S APT 100, FARGO, ND 58104-7443
(320) 766-4329
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1435-5-1-25-632
ND
101YP2500X
Professional Counselor
03468
MN
101YP2500X
Professional Counselor
Primary
2434
MN
Other
Enumeration date
08/21/2020
Last updated
07/15/2026
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