Individual provider · Type 1 NPI
Shade Chantel Rodriguez, CIT
Addiction (Substance Use Disorder) Counselor · West Monroe, LA
NPI number
1114792348
Active
Practice location
5542 Whites Ferry Rd Lot 4
West Monroe, LA 71291-8839
Mailing address
2321 US-80
Monroe, LA 71203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5718 (LA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1114792348
Shade Chantel Rodriguez, CIT's National Provider Identifier is 1114792348, issued on Nov 17, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in West Monroe, LA. The record was last updated on Nov 17, 2023.