Individual
MR. JUSTIN TYLER ROGOLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MBA, MA, LPCC-S
Contact information
Practice address
954 ROBERSON ST, COLUMBUS, OH 43201-3646
(614) 304-1630
Mailing address
954 ROBERSON ST, COLUMBUS, OH 43201-3646
(614) 330-1387
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
E.2001785-SUPV
OH
101YM0800X
Mental Health Counselor
PC013553
PA
101YM0800X
Mental Health Counselor
TPMC1063
FL
Other
Enumeration date
09/25/2019
Last updated
08/03/2021
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