Individual
MR. AMADITA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CAS
Contact information
Practice address
1272 DUCK BLIND CIR, NEWMAN, CA 95360-1737
(209) 862-2833
Mailing address
1272 DUCK BLIND CIRCLE, NEWMAN, CA 95360
(209) 862-2833
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
03/14/2007
Last updated
07/08/2007
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