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Individual
MR. JOSE ANTONIO RODRIGUEZ
Active
Individual
MR. JOSE ANTONIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
72189
CA
1041C0700X
Clinical Social Worker
Primary
LCSW94079
CA
225400000X
Rehabilitation Practitioner
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/13/2015
Last updated
05/18/2021
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