Organization
CIRCLE OF FRIENDS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER ANDERSON ROGERS (MENTAL HEALTH THERAPIST)
(386) 717-0982
Entity
Organization
Contact information
Practice address
525 BLACK IRONWOOD DR, DELAND, FL 32724-8106
(386) 717-0982
Mailing address
525 BLACK IRONWOOD DR, DELAND, FL 32724-8106
(386) 717-0982
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1467691873
—
FL
Enumeration date
08/19/2013
Last updated
08/19/2013
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