person
Roger M. Kern
Addiction (Substance Use Disorder) Counselor in Apache Junction, Arizona
NPI 1811045420

Roger M. Kern is an Addiction (Substance Use Disorder) Counselor based in Apache Junction, AZ and is specialized in Addiction (Substance Use Disorder). Roger M. Kern practices in Apache Junction, AZ. The NPI Number for Roger M. Kern is 1811045420 and holds a License No. LISAC 10208 (Arizona).

The current practice location address for Roger M. Kern is 564 N Idaho Rd, Apache Junction, AZ and can be reached out via phone at 480-288-5328 and via fax at 480-288-5339. You can also correspond with Roger M. Kern through the mailing address at PO BOX 3160, APACHE JUNCTION, AZ - 85217-3160 (mailing address contact number: 480-288-5328).

Location: 564 N Idaho Rd, Apache Junction, AZ, 85217-3160
person
Provider Profile Details
NPI Number
1811045420
Provider Name
Roger M. Kern
Credential
Provider Entity Type
Individual
Gender
Male
Address
564 N Idaho Rd, Apache Junction, AZ, 85217-3160
Phone Number
480-288-5328
Fax Number
480-288-5339
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
164397 05 AZ
institution
Provider Business Practice Location Address Details
Address
564 N Idaho Rd
City
State
Zip
85219-4001
Phone Number
480-288-5328
Fax Number
480-288-5339
person
Provider Business Mailing Address Details
Address
564 N Idaho Rd
City
State
Zip
85219-4001
Phone Number
480-288-5328
Fax Number
480-288-5339
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
LISAC 10208 (Arizona)
Definition
Definition to come...
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