Individual
RAUL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
1586 ATKINSON RD, SUITE 103, LAWRENCEVILLE, GA 30043-5972
(404) 299-9539
Mailing address
2231 FAULKNER NERD, ATLANTA, GA 30324-4224
(404) 229-9539
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
CSW003234
GA
Other
Enumeration date
04/29/2010
Last updated
12/30/2015
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