Organization
SHAROLETTE ROGERS COUNSELING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAROLETTE YVETTE ROGERS LPC (OWNER)
(706) 302-1658
Entity
Organization
Contact information
Practice address
98 GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5735
(706) 302-1658
Mailing address
98 GORDON COMMERCIAL DR, LAGRANGE, GA 30240-5735
(706) 302-1658
Taxonomy
Speciality
Code
Description
License number
State
3245S0500X
Children's Substance Abuse Rehabilitation Facility
Primary
LPC005338
GA
Other
Enumeration date
09/30/2011
Last updated
09/30/2011
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