Individual
RYAN A ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APCC, NCC
Contact information
Practice address
4141 PACIFIC HWY, SAN DIEGO, CA 92110-2030
(619) 363-2000
Mailing address
4842 71ST ST, SAN DIEGO, CA 92115-3029
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
14065
CA
Other
Enumeration date
05/24/2021
Last updated
06/13/2023
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