Individual
MRS. DIANA BENJAMIN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW CADC
Contact information
Practice address
6340 SUGARLOAF PARKWAY, SUITE 200, DULUTH, GA 30097
(678) 775-6750
(678) 623-3396
Mailing address
6340 SUGARLOAF PARKWAY, SUITE 200, DULUTH, GA 30097
(678) 775-6750
(678) 623-3396
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C0019
GA
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICAADC1308
GA
1041C0700X
Clinical Social Worker
Primary
2400
GA
Other
Enumeration date
01/30/2007
Last updated
05/18/2010
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