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Mr. Ruben Kim Rodriguez
Addiction (Substance Use Disorder) Counselor in San Fernando, California
NPI 1154971729

Ruben Kim Rodriguez is an Addiction (Substance Use Disorder) Counselor based in Panorama City, CA and is specialized in Addiction (Substance Use Disorder). Ruben Kim Rodriguez practices in San Fernando, CA. The NPI Number for Ruben Kim Rodriguez is 1154971729 and holds a License No. 6624-R (California).

The current practice location address for Ruben Kim Rodriguez is 762 Griswold Ave, San Fernando, CA and can be reached out via phone at 747-500-9415.

Location: 762 Griswold Ave, San Fernando, CA, 91402-1372
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1154971729
Provider Name
Ruben Kim Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
762 Griswold Ave, San Fernando, CA, 91402-1372
Phone Number
747-500-9415
Fax Number
Provider Enumeration Date
09/16/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
762 Griswold Ave
City
San Fernando
State
California
Zip
91340-2105
Phone Number
747-500-9415
Fax Number
person
Provider Business Mailing Address Details
Address
762 Griswold Ave
City
San Fernando
State
California
Zip
91340-2105
Phone Number
747-500-9415
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
6624-R (California)
Definition
Definition to come...
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