Individual
ARTEMIO RODRIGUEZ ENRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ASW
Contact information
Practice address
2750 E WASHINGTON BLVD STE 230, PASADENA, CA 91107-1449
(626) 296-8900
Mailing address
12747 MERCER ST APT A5, PACOIMA, CA 91331-1301
(818) 720-2185
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
96158
CA
1041C0700X
Clinical Social Worker
61718
CA
Other
Enumeration date
06/22/2017
Last updated
11/23/2021
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