Individual provider · Type 1 NPI

Samuel Rodriguez Jr., B.A

Mental Health Counselor · Pomona, CA

NPI number 1275817025 Active

Practice location

1460 E Holt Ave, #8
Pomona, CA 91767-5856

Call (909) 865-0209 Map

Mailing address

11813 Wolcott St
Adelanto, CA 92301-3737

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1275817025

Samuel Rodriguez Jr., B.A's National Provider Identifier is 1275817025, issued on Sep 28, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Pomona, CA. The record was last updated on Sep 28, 2011.