Individual
SHELLEE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5061 LIBERTY RD S, SALEM, OR 97306-2073
(503) 363-2021
Mailing address
1632 SW FILBERT LN, DALLAS, OR 97338-1285
(503) 999-0655
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
08-12-68
OR
Other
Enumeration date
03/10/2016
Last updated
02/14/2024
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