Individual
LISA WALKER RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
159 BRENTWOOD DR, GRASS VALLEY, CA 95945-5703
(530) 273-9541
Mailing address
159 BRENTWOOD DR, GRASS VALLEY, CA 95945-5703
(530) 273-9541
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
374700000X
Technician
Primary
MAC-4089
CA
Other
Enumeration date
10/08/2018
Last updated
06/16/2026
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