Individual
LYNNEE CHANTEL ROGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., LCPC
Contact information
Practice address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 546-9395
(208) 795-8611
Mailing address
849 E FAIRVIEW AVE, MERIDIAN, ID 83642-1806
(208) 546-9395
(208) 795-8611
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCPC-4591
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8P901
BLUE CROSS
ID
Enumeration date
10/11/2006
Last updated
08/21/2024
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