Individual
CHARLES R RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
120 SOUTH 3RD STREET, YAKIMA, WA 98901
(509) 248-1800
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
(509) 575-4084
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60116071
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60720050
WA
Other
Enumeration date
07/01/2010
Last updated
07/11/2023
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