Individual provider · Type 1 NPI
Juanita Marie Rodriguez, LADC, NCAC I, Q-SAP
Addiction (Substance Use Disorder) Counselor · Scottsbluff, NE
NPI number
1932143955
Active
Practice location
1321 Broadway
Scottsbluff, NE 69361-3579
Fax (308) 632-7423
Mailing address
2201 Kingsgate Rd
Scottsbluff, NE 69361-4824
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 20 (NE) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1932143955
Juanita Marie Rodriguez, LADC, NCAC I, Q-SAP's National Provider Identifier is 1932143955, issued on Jun 16, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Scottsbluff, NE. The record was last updated on Jul 13, 2026.