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JIM ROGERS
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1669693289
Individual Registrant: JIM ROGERS
Gender: M
Sole Proprietor
Gender: M
Sole Proprietor
Location and contact information for practice:
26734 JORDAN RD. SUITE A-4 HELENDALE, CA 92342-1484 US
Tel: 760-961-6118 Fax: 760-955-2242
Tel: 760-961-6118 Fax: 760-955-2242
Contact information for business:
P.O. BOX 1484 HELENDALE, CA 92342-1484 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1669693289
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | MFT35622 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
