Individual
KELLIE MARIE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
11340 EAGLE DR STE 4, MONT BELVIEU, TX 77523-7630
(409) 201-1517
Mailing address
220 W OAK AVE, WINNIE, TX 77665-8365
(409) 201-1517
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
87434
TX
Other
Enumeration date
09/11/2024
Last updated
09/11/2024
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