Organization
LAURISA ROGERS, LCSW, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURISA ROGERS LCSW (OWNER)
(208) 921-3501
Entity
Organization
Contact information
Practice address
6550 W EMERALD ST STE 110, BOISE, ID 83704-4700
(208) 921-3501
(888) 309-8143
Mailing address
2584 E BERGESON ST, BOISE, ID 83706-6014
(208) 921-3501
(888) 309-8143
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/18/2022
Last updated
03/18/2022
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