Individual
ROSENDO RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1196 RUBY NELSON CT., LAWRENCEVILLE, GA 30043
(678) 887-0212
Mailing address
1196 RUBY NELSON CT, LAWRENCEVILLE, GA 30043-4666
(678) 887-0212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/22/2014
Last updated
12/22/2014
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