Most Relevant Information
Provider Data
| NPI Number: | 1003360579 |
| Provider Name: | JEREMY ROGERS LPC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | LPC.0013085 |
Most Important Dates
| Enumeration Date: | 08/12/2016 |
| Last Updated: | 08/07/2020 |
Provider Practice Location
4570 HILTON PKWY STE 202D
COLORADO SPRINGS
CO
809073566
Practice Location Phone/Fax
| Phone: | 7194329222 |
| Fax: | 7199602894 |
Provider Mailing Location
4570 HILTON PKWY STE 202D
COLORADO SPRINGS
CO
809073566
Provider Mailing Phone/Fax
| Phone: | 7194329222 |
| Fax: | 7199602894 |