Individual
LUIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
2401 S 31ST ST, TEMPLE, TX 76508-0001
(254) 724-2111
Mailing address
PO BOX 847556, DALLAS, TX 75284-7556
(254) 724-2111
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
5515
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8637BH
BLUE SHIELD
TX
Enumeration date
04/08/2006
Last updated
05/20/2021
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