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Individual

ERNEST RODRIGUEZ BELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RADT # R1583851024

Contact information

Practice address
7344 MAGNOLIA AVE STE 110, RIVERSIDE, CA 92504-3819
(805) 622-7747
Mailing address
8008 MAGNOLIA AVE APT 3, RIVERSIDE, CA 92504-3449
(951) 934-8183

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1583851024
CA
171400000X
Health & Wellness Coach
171M00000X
Case Manager/Care Coordinator
172V00000X
Community Health Worker
Primary
CA
175T00000X
Peer Specialist
MPSS-FXZUKN
CA

Other

Enumeration date
05/03/2024
Last updated
12/13/2024
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