Individual
JUNE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LADC
Contact information
Practice address
30 HAZEL TERRACE, SUITE C, WOODBRIDGE, CT 06525
(203) 296-0690
(203) 900-0690
Mailing address
1674 ELLA T GRASSO BLVD, NEW HAVEN, CT 06511-2802
(203) 296-0690
(203) 900-0690
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000272
CT
101YP2500X
Professional Counselor
002456
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00415120500
—
CT
Enumeration date
10/01/2006
Last updated
07/08/2015
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