Individual
GRACE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Mailing address
1308 ELBOWOOD LN, BISMARCK, ND 58503-5712
(701) 751-8260
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2023
ND
171M00000X
Case Manager/Care Coordinator
—
—
172A00000X
Driver
—
—
175T00000X
Peer Specialist
—
—
Other
Enumeration date
04/19/2023
Last updated
08/18/2025
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