Individual
KELLY C RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
(800) 969-5300
Mailing address
671 HOES LN W, PISCATAWAY, NJ 08854-8021
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37CA00027100
NJ
104100000X
Social Worker
Primary
44SL05641500
NJ
Other
Enumeration date
10/28/2011
Last updated
10/28/2011
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