Individual provider · Type 1 NPI

Manuel Enrique Rodriguez Jr., SUDCC II - 14664

Addiction (Substance Use Disorder) Counselor · Riverside, CA

NPI number 1245945633 Active

Practice location

11850 Pierce St Ste 200
Riverside, CA 92505-5184

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X14664-SUDCCII (CA)

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

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About NPI 1245945633

Manuel Enrique Rodriguez Jr., SUDCC II - 14664's National Provider Identifier is 1245945633, issued on Jan 19, 2023. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Riverside, CA. The record was last updated on May 13, 2026.