Individual
RAQUEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
815 US HIGHWAY 9, LANOKA HARBOR, NJ 08734-1706
(609) 242-0086
Mailing address
815 ROUTE 9, LANOKA HARBOR, NJ 08734-1706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0031585
—
NJ
Enumeration date
09/28/2022
Last updated
09/28/2022
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