Individual provider · Type 1 NPI
Martin Rodriguez, LCADC
Addiction (Substance Use Disorder) Counselor · Jersey City, NJ
NPI number
1144628397
Active
Practice location
110 Martin Luther Drive
Jersey City, NJ 07305
Mailing address
PO Box 15802
Jersey City, NJ 07305-0802
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 37LC00199700 (NJ) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1144628397
Martin Rodriguez, LCADC's National Provider Identifier is 1144628397, issued on Dec 19, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jersey City, NJ. The record was last updated on Dec 19, 2014.