Individual
JOSE CERECINOS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3131 N COUNTRY CLUB RD, TUCSON, AZ 85716-1649
(520) 229-6220
Mailing address
3131 N COUNTRY CLUB RD, TUCSON, AZ 85716-1649
(520) 229-6220
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316229339
MENTAL HEALTH PROVIDER
AZ
Enumeration date
11/18/2021
Last updated
11/18/2021
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