Individual provider · Type 1 NPI

Amanda Maria Rodriguez, CSAC, CSIT

Addiction (Substance Use Disorder) Counselor · Mount Pleasant, WI

NPI number 1629412580 Active

Practice location

5735 Durand Ave
Mount Pleasant, WI 53406-5011

Call (262) 598-1392 Map

Fax (262) 598-1395

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X15693-133 (WI)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X16021-132 (WI)

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

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About NPI 1629412580

Amanda Maria Rodriguez, CSAC, CSIT's National Provider Identifier is 1629412580, issued on Apr 23, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Mount Pleasant, WI. The record was last updated on Nov 8, 2017.