Individual
MR. JAMES LEE ROGERS II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1635 LELIA DR STE 100, JACKSON, MS 39216-4876
(601) 362-7020
Mailing address
119 LINKS CV, MADISON, MS 39110-4708
(601) 940-8529
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
2433
MS
101YA0400X
Addiction (Substance Use Disorder) Counselor
2433
MS
101YM0800X
Mental Health Counselor
2433
MS
Other
Enumeration date
10/03/2019
Last updated
10/03/2019
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