Individual
AMANDA ROSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 509-5754
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
WA
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/28/2019
Last updated
01/30/2025
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