Individual
JONELSON RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
(707) 425-5162
Mailing address
801 EMPIRE ST, FAIRFIELD, CA 94533-5702
(707) 425-5744
(707) 425-5162
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
ACSW127158
CA
106S00000X
Behavior Technician
—
—
Other
Enumeration date
09/27/2023
Last updated
12/18/2024
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