Individual provider · Type 1 NPI
Jacqueline Rodriguez, LADC, CAC, APP
Addiction (Substance Use Disorder) Counselor · Bridgeport, CT
NPI number
1003288168
Active
Practice location
243 Success Ave
Bridgeport, CT 06610-2429
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 001104 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1003288168
Jacqueline Rodriguez, LADC, CAC, APP's National Provider Identifier is 1003288168, issued on Oct 28, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bridgeport, CT. The record was last updated on Oct 31, 2016.