Individual
MISS TELITHA MICHELLE ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LPC
Contact information
Practice address
3438 WHISPERING WOODS DR, FLORISSANT, MO 63031-1152
(314) 830-2053
Mailing address
3438 WHISPERING WOODS DR, FLORISSANT, MO 63031-1152
(314) 830-2053
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
493994602
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
493994602
—
MO
Enumeration date
04/18/2007
Last updated
07/09/2007
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