Individual
TRISHA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SACIT
Contact information
Practice address
210 NW BARSTOW ST, SUITE 110, WAUKESHA, WI 53188-3771
(262) 928-4402
Mailing address
210 NW BARSTOW ST, SUITE 110, WAUKESHA, WI 53188-3771
(262) 928-4402
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16744-130
WI
Other
Enumeration date
12/05/2012
Last updated
12/05/2012
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