Individual
LUS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MHP
Contact information
Practice address
402 S 4TH AVE, YAKIMA, WA 98902-3546
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00030847
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2120563
—
WA
Enumeration date
01/16/2007
Last updated
04/08/2025
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