Individual
JOSE ANTONIO RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CRSW
Contact information
Practice address
60 ROGERS ST UNIT 204, MANCHESTER, NH 03103-5098
(603) 309-7472
Mailing address
1602 E MAIN ST APT 1, CENTER CONWAY, NH 03813-4117
(978) 761-3902
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0234
NH
Other
Enumeration date
04/28/2020
Last updated
04/28/2020
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