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Individual
JESSICA ROGERS
Active
Individual
JESSICA ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.169087
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCDCII.161691
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0329097
—
OH
Enumeration date
12/27/2018
Last updated
03/05/2021
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