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NPI Code Detail

MEDICARE: KRISTINA ROGERS CPC-I

MEDICARE: KRISTINA ROGERS CPC-I
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1841620358
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTINA ROGERS CPC-I
Provider Business Mailing Address
First Line : 5577 FAIRMEADE WAY
Second Line :
City : LAS VEGAS
State : NV
Zip : 89135-4039
Country : US
Telephone Number : 702-286-4402
Fax Number :
Provider Business Practice Location Address
First Line : 6730 S FORT APACHE RD
Second Line :
City : LAS VEGAS
State : NV
Zip : 89148-5396
Country : US
Telephone Number : 702-907-9443
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/19/2013
Last Update Date : 06/26/2023

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Directions to “ KRISTINA ROGERS CPC-I” Practice Location

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