Individual provider · Type 1 NPI

Nicole Rogers, LAC

Mental Health Counselor · Cave Creek, AZ

NPI number 1093464752 Active

Practice location

29858 N Tatum Blvd # 100
Cave Creek, AZ 85331-5865

Mailing address

125 E Guadalupe Rd Apt 11206
Gilbert, AZ 85234-4692

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X19645 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1093464752

Nicole Rogers, LAC's National Provider Identifier is 1093464752, issued on Mar 21, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cave Creek, AZ. The record was last updated on Mar 21, 2022.