Alex Rodriguez is a Counselor based in Rialto, CA. Alex Rodriguez practices in Pomona, CA. The NPI Number for Alex Rodriguez is 1063555803 and holds a License No. (California).
The current practice location address for Alex Rodriguez is 790 E Bonita Ave, Pomona, CA and can be reached out via phone at 909-625-7207.
Location: 790 E Bonita Ave, Pomona, CA, 92377-3755
Provider Profile Details
NPI Number
1063555803
Provider Name
Alex Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
790 E Bonita Ave, Pomona, CA, 92377-3755
Phone Number
909-625-7207
Fax Number
Provider Enumeration Date
02/14/2007
Last Update Date
03/08/2024
Provider's Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TRIA121 | 01 | CA | MIS NUMBER |
Provider Business Practice Location Address Details
Address
790 E Bonita Ave
City
State
Zip
91767-1906
Phone Number
909-625-7207
Fax Number
Provider Business Mailing Address Details
Address
790 E Bonita Ave
City
State
Zip
91767-1906
Phone Number
909-625-7207
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
Provider's Taxonomy Details 2
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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