Individual
ELIEZER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC
Contact information
Practice address
16 WESTON ST, HARTFORD, CT 06120-1504
(860) 527-5100
Mailing address
16 WESTON ST, HARTFORD, CT 06120-1504
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
001260
CT
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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