Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YP2500X | Professional Counselor | A12682 | NC |
NPI | 1003359837 |
---|---|
Provider Name | Chelsea Baldwin Rogers |
First Address | Charlotte, NC 28211-5630 |
Second Address | Winston Salem, NC 27106-3336 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/11/2016 |
Last Update Date | 08/11/2021 |