Individual
TYLA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
95 PLEASANT ST, LYNN, MA 01901-1524
(781) 715-2302
Mailing address
87 WESTERN AVE APT 1, LYNN, MA 01904-2731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/21/2023
Last updated
03/21/2023
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