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JIM ROGERS

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1669693289

Individual Registrant:
 JIM  ROGERS 
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

Contact information for business:
P.O. BOX 1484  HELENDALE, CA 92342-1484 US
Tel: --  Fax: --

Registration Information:
NPI: 1669693289
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAMFT35622

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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