Individual provider · Type 1 NPI

Ruben Kim Rodriguez

Addiction (Substance Use Disorder) Counselor · San Fernando, CA

NPI number 1154971729 Active

Practice location

762 Griswold Ave
San Fernando, CA 91340-2105

Call (747) 500-9415 Map

Mailing address

9363 Sylmar Ave Apt 7
Panorama City, CA 91402-1372

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X6624-R (CA)

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

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About NPI 1154971729

Ruben Kim Rodriguez's National Provider Identifier is 1154971729, issued on Sep 16, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Fernando, CA. The record was last updated on Sep 16, 2019.