Individual
RODOLFO ARREDONDO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD
Contact information
Practice address
3601 4TH ST, SUITE 1C102, LUBBOCK, TX 79430-0002
(806) 743-2800
(806) 743-1668
Mailing address
PO BOX 5865, LUBBOCK, TX 79408-5865
(806) 743-2898
(806) 743-2787
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
003601-027877
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80125L
BC/BS
TX
01
—
80914Z
HMO BLUE
TX
01
—
C005
TRIWEST
NM
Enumeration date
12/21/2005
Last updated
07/13/2007
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