Individual
MELISSA IVETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MM
Contact information
Practice address
1289 APPLETON AVE, MACON, GA 31201-1711
(478) 284-7820
Mailing address
1289 APPLETON AVE, MACON, GA 31201-1711
(478) 284-7820
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/17/2018
Last updated
07/17/2018
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