Individual
JENELL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT.CO.61563327
Contact information
Practice address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
Mailing address
518 S BROWNE ST, SPOKANE, WA 99204-2315
(509) 456-5465
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.61563327
WA
Other
Enumeration date
09/25/2024
Last updated
09/25/2024
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