Provider Information for 1689284051
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JAMES DOUGLAS ROGERS LMHC
Sex: Male
NPI: 1689284051
Last Updated: 2024-01-27
Certification Date: 2021-06-10
Certification Date: 2021-06-10
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1689284051 | ||||||||
| Enumeration Date | 2020-07-31 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | YES | ||||||||
| Status | Active | ||||||||
| Mailing Address | 200 MEDICAL DR STE D CARMEL, IN 46032-2985 United States Phone: 317-207-2084 | Fax: | ||||||||
| Primary Practice Address | 200 MEDICAL DR STE D CARMEL, IN 46032-2985 United States Phone: 317-207-2084 | Fax: | ||||||||
| Secondary Practice Address(es) | 4107 STUBBINGTON LN | ||||||||
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