Individual
JOMIRACLE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1992 FLORIDA AVE SW STE A, DENHAM SPRINGS, LA 70726-4971
(225) 304-6764
Mailing address
939 BEAVER RUN RD, GREENSBURG, LA 70441-3177
(225) 244-4850
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/20/2024
Last updated
06/20/2024
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