| Doctor Name: | MR. JOHN GERON ROGERS |
| NPI Number: | 1265855217 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LMHC |
| License Number: | MH12251 |
| Business Practice Address: | 506 S. Hwy 27 Ste N Minneola, FL - 34715 |
| Business Phone Number: | 3523488858 |
| Business Fax Number: | 3524144876 |
| Mailing Address: | 506 S. Hwy 27, Ste N MINNEOLA |
| State: | FL |
| Postal Code: | 34715 |
| Phone Number: | 3523488858 |
| Fax Number: | 3524144876 |
| NPI Enumeration Date: | 01/28/2014 |
| NPI Last Update Date: | 01/28/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH12251 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | FL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |