| Doctor Name: | MR. JASON MICHAEL ROPER |
| NPI Number: | 1326257379 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MS |
| License Number: | 060280844 |
| Business Practice Address: | 4240 Dan Ave Olivehurst, CA - 959618107 |
| Business Phone Number: | 5307416275 |
| Business Fax Number: | 5307497913 |
| Mailing Address: | 4240 Dan Ave, OLIVEHURST |
| State: | CA |
| Postal Code: | 959618107 |
| Phone Number: | 5307416275 |
| Fax Number: | 5307497913 |
| NPI Enumeration Date: | 05/22/2007 |
| NPI Last Update Date: | 10/20/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 060280844 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | CA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |