Individual
JENNIFER RACHELLE RODGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSS, CRM,CADC-R
Contact information
Practice address
900 HITCHING POST RD, GRANTS PASS, OR 97526-9710
(541) 237-5067
Mailing address
300 W MAIN ST, MEDFORD, OR 97501-2756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
247000000X
Health Information Technician
—
—
Other
Enumeration date
07/23/2021
Last updated
09/27/2022
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