Individual provider · Type 1 NPI

Itzelt Diana Rodriguez

Addiction (Substance Use Disorder) Counselor · Stockton, CA

NPI number 1013568625 Active

Practice location

1947 N California St Ste B&c
Stockton, CA 95204-6029

Call (209) 463-0870 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1013568625

Itzelt Diana Rodriguez's National Provider Identifier is 1013568625, issued on Sep 25, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Stockton, CA. The record was last updated on Sep 25, 2019.