Individual
PEDRO JOSE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
67 WELLS ST, MANCHESTER, CT 06040-6126
(860) 204-2216
Mailing address
67 WELLS ST, MANCHESTER, CT 06040-6126
(860) 204-2216
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
CT
Other
Enumeration date
05/23/2007
Last updated
07/08/2007
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