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Jack A Rogers JR.
Addiction (Substance Use Disorder) Counselor in Oxford, Mississippi
NPI 1083853493

Jack A Rogers JR. is an Addiction (Substance Use Disorder) Counselor based in Oxford, MS and is specialized in Addiction (Substance Use Disorder). Jack A Rogers JR. practices in Oxford, MS. The NPI Number for Jack A Rogers JR. is 1083853493 and holds a License No. 0035 (Mississippi).

The current practice location address for Jack A Rogers JR. is 152A Highway 7 S, Oxford, MS and can be reached out via phone at 662-234-7527 and via fax at 662-236-3071.

Location: 152A Highway 7 S, Oxford, MS, 38655-5392
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1083853493
Provider Name
Jack A Rogers JR.
Credential
Provider Entity Type
Individual
Gender
Male
Address
152A Highway 7 S, Oxford, MS, 38655-5392
Phone Number
662-234-7527
Fax Number
662-236-3071
Provider Enumeration Date
02/09/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
152A Highway 7 S
City
Oxford
State
Mississippi
Zip
38655-5392
Phone Number
662-234-7527
Fax Number
662-236-3071
person
Provider Business Mailing Address Details
Address
152A Highway 7 S
City
Oxford
State
Mississippi
Zip
38655-5392
Phone Number
662-234-7527
Fax Number
662-236-3071
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
0035 (Mississippi)
Definition
Definition to come...
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