Individual provider · Type 1 NPI

Jerilyn Denise Rogers, LCDCIII

Mental Health Counselor · Beachwood, OH

NPI number 1487890109 Active

Practice location

24200 Chagrin Blvd
Beachwood, OH 44122-5550

Fax (216) 766-6084

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X031105 (OH)
Mental Health Counselor Primary 101YM0800XC0600270 (OH)

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About NPI 1487890109

Jerilyn Denise Rogers, LCDCIII's National Provider Identifier is 1487890109, issued on Dec 30, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Beachwood, OH. The record was last updated on Dec 30, 2008.