Individual
MR. JASON L RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
601 S EDWIN C MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Mailing address
601 S EDWIN MOSES BLVD, DAYTON, OH 45417-3424
(937) 734-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
C.1801038
OH
101YM0800X
Mental Health Counselor
Primary
C1801038
OH
Other
Enumeration date
05/08/2018
Last updated
10/17/2018
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