Individual
MARIA L RODITIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-7338
Mailing address
600 N JORDAN AVE, BLOOMINGTON, IN 47405-3190
(812) 855-7338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2370525205
IN
Other
Enumeration date
09/16/2010
Last updated
09/16/2010
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