Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1020 SHERIDAN AVE, ELIZABETH, NJ 07208-3044
(908) 659-6130
Mailing address
1020 SHERIDAN AVE, ELIZABETH, NJ 07208-3044
(908) 659-6130
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
37LC00218900
NJ
104100000X
Social Worker
Primary
44SL05882200
NJ
374J00000X
Doula
—
—
Other
Enumeration date
05/16/2016
Last updated
06/18/2021
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