Individual provider · Type 1 NPI
Rose Amanda Rodriguez
Addiction (Substance Use Disorder) Counselor · Palmdale, CA
NPI number
1790368686
Active
Practice location
320 E Palmdale Blvd
Palmdale, CA 93550-4598
Fax (818) 975-5060
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1427640421 (CA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1790368686
Rose Amanda Rodriguez's National Provider Identifier is 1790368686, issued on Apr 29, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Palmdale, CA. The record was last updated on Sep 14, 2021.