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General NPI Number Information
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NPI Number | 1710364245
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Entity Type | Organization
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Legal Business Name | ROGERS COUNSELING LLC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 11/27/2025
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Provider Practice Location Address
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Address Line | 3747 MINNEHAHA AVE STE 206
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2858
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Country | US
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Telephone | 651-500-6827
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Fax |
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Provider Business Mailing Address
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Address Line | 3747 MINNEHAHA AVE STE 206
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City | MINNEAPOLIS
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State | MN
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Zip | 55406-2858
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Country | US
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Telephone | 651-500-6827
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | JOHN ROGERS
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Credential | MN LPCC
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Telephone | 651-500-6827
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 00945
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License Number State | MN
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