Provider Demographics
NPI:1538448162
Name:KUYKENDALL-ROGERS, VALERIE (LPC)
Entity type:Individual
Prefix:MRS
First Name:VALERIE
Middle Name:
Last Name:KUYKENDALL-ROGERS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1795 N FRY RD
Mailing Address - Street 2:SUITE 205
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449-3347
Mailing Address - Country:US
Mailing Address - Phone:832-418-2479
Mailing Address - Fax:888-462-7208
Practice Address - Street 1:3880 GREENHOUSE RD
Practice Address - Street 2:SUITE 412
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77084-6792
Practice Address - Country:US
Practice Address - Phone:832-418-2479
Practice Address - Fax:888-462-7208
Is Sole Proprietor?:No
Enumeration Date:2011-08-13
Last Update Date:2014-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX16445101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX096040303Medicaid