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Therron Jai Rogers
Mental Health Counselor in Montgomery, Illinois
NPI 1992260905

Therron Jai Rogers is a Mental Health Counselor based in Montgomery, IL and is specialized in Mental Health. Therron Jai Rogers practices in Montgomery, IL. The NPI Number for Therron Jai Rogers is 1992260905 and holds a License No. (Illinois).

The current practice location address for Therron Jai Rogers is 3391 Helene Rieder Dr, Montgomery, IL and can be reached out via phone at 630-882-0050.

Location: 3391 Helene Rieder Dr, Montgomery, IL, 60538-6025
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1992260905
Provider Name
Therron Jai Rogers
Credential
Provider Entity Type
Individual
Gender
Male
Address
3391 Helene Rieder Dr, Montgomery, IL, 60538-6025
Phone Number
630-882-0050
Fax Number
Provider Enumeration Date
02/04/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3391 Helene Rieder Dr
City
Montgomery
State
Illinois
Zip
60538-6025
Phone Number
630-882-0050
Fax Number
person
Provider Business Mailing Address Details
Address
3391 Helene Rieder Dr
City
Montgomery
State
Illinois
Zip
60538-6025
Phone Number
630-882-0050
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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