Individual
BEN RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
800 SCENIC DR BLDG 4, MODESTO, CA 95350-6131
(209) 525-6146
(209) 525-5361
Mailing address
800 SCENIC DR, MODESTO, CA 95350-6131
(209) 525-6146
(209) 525-5361
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RASI-051081
CA
Other
Enumeration date
03/09/2007
Last updated
07/08/2007
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