IndividualActive
Jack Rogers
NPI 1083853493 · Addiction (Substance Use Disorder) Counselor · Oxford, MS
Provider details
- NPI number
- 1083853493
- Entity type
- Individual
- Primary specialty
- Addiction (Substance Use Disorder) CounselorBehavioral Health & Social Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 0035 (MS)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
152a Highway 7 S
Oxford, MS 38655-5392
Phone: (662) 234-7527
Fax: (662) 236-3071
Approximate (ZIP-level) locationGet directions
Mailing address
152 Highway 7 S
Oxford, MS 38655-5392
Registry dates
- Enumerated
- 2009-02-09
- Last updated
- 2009-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.