Individual
AMANDA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3101 AMERICAN LEGION RD, STE 21 A, CHESAPEAKE, VA 23321-5655
(757) 325-9570
Mailing address
945B SHOAL CREEK TRL, CHESAPEAKE, VA 23320-9485
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
0701005195
VA
Other
Enumeration date
07/08/2013
Last updated
07/08/2013
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