Individual
SHELLY MARIE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6465 COLLEGE PARK SQ STE 300, VA BEACH, VA 23464-3622
(757) 351-0057
(757) 351-6890
Mailing address
6465 COLLEGE PARK SQ STE 300, VA BEACH, VA 23464-3622
(757) 351-0057
(757) 351-6890
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701012778
VA
Other
Enumeration date
10/18/2023
Last updated
04/24/2024
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