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Individual
MISS ROSA SARAITH RODRIGUEZ EVANGELISTA
Active
Individual
MISS ROSA SARAITH RODRIGUEZ EVANGELISTA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RADT-I
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
R1403560820
CA
251K00000X
Public Health or Welfare Agency
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
CA
Other
Enumeration date
08/25/2020
Last updated
12/07/2020
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