Individual provider · Type 1 NPI

Jacqueline Deonarine Rodriguez, LCSW

Addiction (Substance Use Disorder) Counselor · Jamaica, NY

NPI number 1356417489 Active

Practice location

8268 164th St
Jamaica, NY 11432-1121

Call (718) 883-3225 Map

Fax (718) 883-6193

Mailing address

7901 Broadway, Managed Care, D1-01
Elmhurst, NY 11373-1329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X072462 (NY)

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

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About NPI 1356417489

Jacqueline Deonarine Rodriguez, LCSW's National Provider Identifier is 1356417489, issued on Nov 28, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jamaica, NY. The record was last updated on Jul 8, 2007.