Individual
MR. JOSE MANUEL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, LCADC
Contact information
Practice address
89 RIDGE RD. SUITE 4, NORTH ARLINGTON, NJ 07070
(848) 250-3638
Mailing address
235 N 7TH ST, NEWARK, NJ 07107-1622
(848) 250-3638
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00235200
NJ
101YP2500X
Professional Counselor
Primary
37PC00519300
NJ
Other
Enumeration date
05/10/2012
Last updated
04/19/2016
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