Individual
AMANDA G RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
901 A MANTUA PIKE, STE102, WEST DEPTFORD, NJ 08096-3920
(856) 556-6020
Mailing address
901 A MANTUA PIKE, STE 102, WEST DEPTFORD, NJ 08096-3920
(856) 556-6020
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00199800
NJ
101YP2500X
Professional Counselor
Primary
37PC00464100
NJ
Other
Enumeration date
07/22/2013
Last updated
10/09/2025
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