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Individual

MICHAEL ROGERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHD LMHC NCC MCAP

Contact information

Practice address
1111 12TH ST STE 212, KEY WEST, FL 33040-3001
(305) 783-3677
(305) 407-3955
Mailing address
1111 12TH ST STE 212, KEY WEST, FL 33040-3001
(305) 783-3677
(305) 407-3395

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YP2500X
Professional Counselor
Primary
MH15691
FL
251S00000X
Community/Behavioral Health Agency

Other

Enumeration date
05/07/2014
Last updated
08/23/2022
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