Organization
SOL CASE MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROLANDO RODRIGUEZ C.D.M.S. (MANAGER)
(509) 542-8890
Entity
Organization
Contact information
Practice address
117 S. 3RD AVE., PASCO, WA 99301
(509) 542-8890
(866) 204-7309
Mailing address
P.O. BOX 690, PASCO, WA 99301
(509) 542-8890
(866) 204-7309
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY00003590
WA
103TC2200X
Clinical Child & Adolescent Psychologist
PY00003590
WA
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
12/02/2009
Last updated
12/02/2009
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