Individual
JOSE G. CRUZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1020 PARK AVE, CRANSTON, RI 02910-3227
(401) 396-7649
Mailing address
66 PLANET AVE, RIVERSIDE, RI 02915-2172
(401) 396-7649
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CADC-200884
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00711
RI
101YA0400X
Addiction (Substance Use Disorder) Counselor
SAP173871
RI
Other
Enumeration date
09/02/2020
Last updated
06/17/2025
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