| Amy Rogers, Ma, Lpc,ncc | |
|
121 Moosic Rd Old Forge PA 18518-2082 | |
| (570) 604-4393 | |
| Not Available |
| Full Name | Amy Rogers, Ma, Lpc,ncc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 121 Moosic Rd, Old Forge, Pennsylvania |
| Authorized Official Name and Position | Amy Elizabeth Rogers (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Contact | 5706044393 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Rogers, Ma, Lpc,ncc 2652 Cedar Ave Scranton PA 18505 Ph: (570) 604-4393 | Amy Rogers, Ma, Lpc,ncc 121 Moosic Rd Old Forge PA 18518-2082 Ph: (570) 604-4393 |
| NPI Number | 1508264672 |
|---|---|
| Provider Enumeration Date | 12/05/2014 |
| Last Update Date | 12/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508264672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PC007399 (Pennsylvania) | Primary |
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