Individual provider · Type 1 NPI

Jimmy Rodriguez

Addiction (Substance Use Disorder) Counselor · Bronx, NY

NPI number 1669008769 Active

Practice location

3584 Jerome Ave
Bronx, NY 10467-1006

Mailing address

754 Brady Ave Apt 503
Bronx, NY 10462-2779

Other practice locations

  • 21 Old Route 6, Carmel, NY 10512-2107 · (845) 225-5202

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X31241 (NY)

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

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About NPI 1669008769

Jimmy Rodriguez's National Provider Identifier is 1669008769, issued on Mar 20, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Bronx, NY. The record was last updated on Oct 25, 2021.