Doctor Name: | MS. JESSICA RASHADA-JAMILLAH ROGERS |
NPI Number: | 1053597492 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S. |
License Number: | |
Business Practice Address: | 4505 Crowne Lake Circle Apt 2f Jamestown, NC - 272827931 |
Business Phone Number: | 3367724423 |
Business Fax Number: | |
Mailing Address: | 4505 Crowne Lake Circle, Apt 2f JAMESTOWN |
State: | NC |
Postal Code: | 272827931 |
Phone Number: | 3367724423 |
Fax Number: | |
NPI Enumeration Date: | 01/16/2008 |
NPI Last Update Date: | 01/16/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |