Individual
MICHELLE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1285 FULTON AVE FL 2, BRONX, NY 10456-0580
(718) 518-3729
Mailing address
1285 FULTON AVE, BRONX, NY 10456-0580
(718) 518-3729
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
27966
NY
Other
Enumeration date
08/21/2025
Last updated
08/21/2025
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