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Mrs. Colleen Katy Rogers, MSP,MPA
Professional Counselor in Phoenix, Illinois
NPI 1215582606

Colleen Katy Rogers is a Professional Counselor based in Phoenix, IL and is specialized in Professional. Colleen Katy Rogers practices in Phoenix, IL and has the professional credentials of MSP,MPA. The NPI Number for Colleen Katy Rogers is 1215582606 and holds a License No. (Illinois).

The current practice location address for Colleen Katy Rogers is 640 E 152Nd St, Phoenix, IL and can be reached out via phone at 708-271-3384.

Location: 640 E 152Nd St, Phoenix, IL, 60426-2454
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215582606
Provider Name
Colleen Katy Rogers
Credential
MSP,MPA
Provider Entity Type
Individual
Gender
Female
Address
640 E 152Nd St, Phoenix, IL, 60426-2454
Phone Number
708-271-3384
Fax Number
Provider Enumeration Date
08/03/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
331622717001 05 IL
institution
Provider Business Practice Location Address Details
Address
640 E 152Nd St
City
Phoenix
State
Illinois
Zip
60426-2454
Phone Number
708-271-3384
Fax Number
person
Provider Business Mailing Address Details
Address
640 E 152Nd St
City
Phoenix
State
Illinois
Zip
60426-2454
Phone Number
708-271-3384
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
()
Definition
Definition to come...
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