Individual provider · Type 1 NPI

Ignacio Rodriguez Iii, R1447121021

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

NPI number 1417601972 Active

Practice location

298 Bernal Rd
San Jose, CA 95119-1809

Fax (408) 956-6314

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1417601972

Ignacio Rodriguez Iii, R1447121021's National Provider Identifier is 1417601972, issued on Feb 3, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Jose, CA. The record was last updated on Feb 3, 2022.