Individual
CARLOS RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CT
Contact information
Practice address
2173 N RIDGE RD E STE E, LORAIN, OH 44055-3400
(440) 260-8300
Mailing address
434 EASTLAND RD, BEREA, OH 44017-1217
(440) 234-2006
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
C.2002737-TRNE
OH
171M00000X
Case Manager/Care Coordinator
—
—
172V00000X
Community Health Worker
—
—
Other
Enumeration date
09/28/2020
Last updated
01/13/2023
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