Individual
JESSICA ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
200 W COLUMBIA ST, FARMINGTON, MO 63640-1705
(573) 983-4730
(573) 240-9949
Mailing address
200 W COLUMBIA ST, FARMINGTON, MO 63640-1705
(573) 983-4730
(573) 240-9949
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2022049316
MO
101YP2500X
Professional Counselor
2022049316
MO
101YP2500X
Professional Counselor
Primary
2025027027
MO
Other
Enumeration date
12/29/2022
Last updated
10/03/2025
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