Individual
JOHN DAVID ROGERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LISAC
Contact information
Practice address
4801 S LAKESHORE DR STE 102, TEMPE, AZ 85282-7156
(480) 594-7186
Mailing address
11645 N 25TH PL APT 130, PHOENIX, AZ 85028-1847
(480) 594-7186
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC11726
AZ
Other
Enumeration date
06/16/2023
Last updated
06/16/2023
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