Individual
MR. JOSE LUIS RODRIGUEZ JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.C.S.W., L.A.C.
Contact information
Practice address
12067 BASELINE RD, LAFAYETTE, CO 80026-9418
(303) 263-1542
Mailing address
PO BOX 97, LOUISVILLE, CO 80027-0097
(303) 263-1542
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
11
CO
1041C0700X
Clinical Social Worker
Primary
992117
CO
Other
Enumeration date
09/21/2006
Last updated
09/30/2019
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