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Individual

MR. CHRISTOPHER SHAUN ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS

Contact information

Practice address
120 BROADWAY STE 204, KISSIMMEE, FL 34741-5705
(321) 206-6560
(866) 901-7203
Mailing address
120 BROADWAY STE 204, KISSIMMEE, FL 34741-5705
(321) 206-6560
(866) 901-7203

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
FL

Other

Enumeration date
07/18/2019
Last updated
07/18/2019
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