Individual
MR. JOHN PAUL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
4115 MEDICAL DR, SUITE 105, SAN ANTONIO, TX 78229-5657
(210) 913-6965
Mailing address
PO BOX 171272, SAN ANTONIO, TX 78217-8272
(210) 913-6965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
8487
TX
Other
Enumeration date
02/07/2013
Last updated
02/07/2013
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