Individual provider · Type 1 NPI

Juan M. Rodriguez, SUDPT

Addiction (Substance Use Disorder) Counselor · Omak, WA

NPI number 1477185288 Active

Practice location

1007 Koala Dr
Omak, WA 98841-9247

Fax (509) 826-3029

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61034274 (WA)

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

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About NPI 1477185288

Juan M. Rodriguez, SUDPT's National Provider Identifier is 1477185288, issued on Feb 10, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Omak, WA. The record was last updated on Feb 10, 2020.