Individual
JOSEPH R ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6435 E BROAD ST, COLUMBUS, OH 43213-1507
(614) 856-9610
(614) 861-5411
Mailing address
1301 N HIGH ST, COLUMBUS, OH 43201-2460
(614) 299-6600
(614) 421-3111
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
I0005568
OH
1041C0700X
Clinical Social Worker
I.0005568
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0274411
—
OH
Enumeration date
07/14/2006
Last updated
12/19/2007
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