Individual provider · Type 1 NPI

Gustavo Albert Rodriguez, LISAC

Addiction (Substance Use Disorder) Counselor · Yuma, AZ

NPI number 1073670253 Active

Practice location

3802 W 16th St
Yuma, AZ 85364-4107

Fax (928) 782-2298

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XLISAC-1257 (AZ)

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

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About NPI 1073670253

Gustavo Albert Rodriguez, LISAC's National Provider Identifier is 1073670253, issued on Jan 3, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Yuma, AZ. The record was last updated on Jul 8, 2007.