Individual provider · Type 1 NPI
Mario Rodriguez
Addiction (Substance Use Disorder) Counselor · Salt Lake, UT
NPI number
1366960973
Active
Practice location
344 E 100 S Ste 301
Salt Lake, UT 84111
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1366960973
Mario Rodriguez's National Provider Identifier is 1366960973, issued on Sep 4, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Salt Lake, UT. The record was last updated on Jul 21, 2022.