Individual
JERMAINE ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCAS-A
Contact information
Practice address
3117 POPLARWOOD CT STE 115, RALEIGH, NC 27604-1040
(919) 787-6131
(919) 571-2932
Mailing address
3125 POPLARWOOD CT STE 203, RALEIGH, NC 27604-6445
(919) 787-6131
(919) 571-2932
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCAS-23527
NC
Other
Enumeration date
04/06/2017
Last updated
11/20/2023
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