Individual
MARTIN RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
302 S SPRING ST, TUPELO, MS 38804-4853
(662) 205-0098
Mailing address
PO BOX 68, TUPELO, MS 38802-0068
(662) 205-0098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/18/2026
Last updated
03/18/2026
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