Individual
NANCY RUBI ROSAS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
5915 ORCHARD ST W., TACOMA, WA 98467
(253) 414-7461
(253) 627-8387
Mailing address
5915 ORCHARD ST W., TACOMA, WA 98467
(253) 414-7461
(253) 627-8387
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C060778215
WA
Other
Enumeration date
01/16/2019
Last updated
01/17/2019
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