Individual
CHARLES JUSTIN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5933 LINNET ST, SAN DIEGO, CA 92114-4122
(909) 957-9305
Mailing address
5933 LINNET ST, SAN DIEGO, CA 92114-4122
(909) 957-9305
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
12/13/2021
Last updated
12/13/2021
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