Individual
JACK A ROGERS JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
152A HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7527
(662) 236-3071
Mailing address
152 HIGHWAY 7 S, OXFORD, MS 38655-5392
(662) 234-7527
(662) 236-3071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0035
MS
Other
Enumeration date
02/09/2009
Last updated
02/09/2009
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