Organization
JDT CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FELIX RODRIGUEZ (MENTAL HEALTH CLINICIAN)
(559) 243-9110
Entity
Organization
Contact information
Practice address
2501 W SHAW AVE, SUITE 101, FRESNO, CA 93711-3307
(559) 243-9110
Mailing address
2501 W SHAW AVE, SUITE 101, FRESNO, CA 93711-3307
(559) 243-9110
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
62824
CA
Other
Enumeration date
01/24/2007
Last updated
08/05/2010
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