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Tajia Rodriguez
Peer Specialist in Mammoth Lakes, California
NPI 1376262386

Tajia Rodriguez is a Peer Specialist based in Mammoth Lakes, CA. Tajia Rodriguez practices in Mammoth Lakes, CA. The NPI Number for Tajia Rodriguez is 1376262386 and holds a License No. MPSS-OPGUMY (California).

The current practice location address for Tajia Rodriguez is 1290 Tavern Rd, Mammoth Lakes, CA and can be reached out via phone at 760-924-1740.

Location: 1290 Tavern Rd, Mammoth Lakes, CA, 93546-2619
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1376262386
Provider Name
Tajia Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
1290 Tavern Rd, Mammoth Lakes, CA, 93546-2619
Phone Number
760-924-1740
Fax Number
Provider Enumeration Date
08/23/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1290 Tavern Rd
City
Mammoth Lakes
State
California
Zip
93546-6601
Phone Number
760-924-1740
Fax Number
person
Provider Business Mailing Address Details
Address
1290 Tavern Rd
City
Mammoth Lakes
State
California
Zip
93546-6601
Phone Number
760-924-1740
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
MPSS-OPGUMY (California)
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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