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Mr. Ignacio Rodriguez III, R1447121021
Addiction (Substance Use Disorder) Counselor in San Jose, California
NPI 1417601972

Ignacio Rodriguez III is an Addiction (Substance Use Disorder) Counselor based in San Jose, CA and is specialized in Addiction (Substance Use Disorder). Ignacio Rodriguez III practices in San Jose, CA and has the professional credentials of R1447121021. The NPI Number for Ignacio Rodriguez III is 1417601972 and holds a License No. (California).

The current practice location address for Ignacio Rodriguez III is 298 Bernal Rd, San Jose, CA and can be reached out via phone at 408-780-0755 and via fax at 408-956-6314.

Location: 298 Bernal Rd, San Jose, CA, 95119-1809
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Provider Profile Details
NPI Number
1417601972
Provider Name
Ignacio Rodriguez III
Credential
R1447121021
Provider Entity Type
Individual
Gender
Male
Address
298 Bernal Rd, San Jose, CA, 95119-1809
Phone Number
408-780-0755
Fax Number
408-956-6314
Provider Enumeration Date
02/03/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
R1447121021 01 CA CCAPP
institution
Provider Business Practice Location Address Details
Address
298 Bernal Rd
City
State
Zip
95119-1809
Phone Number
408-780-0755
Fax Number
408-956-6314
person
Provider Business Mailing Address Details
Address
298 Bernal Rd
City
State
Zip
95119-1809
Phone Number
408-780-0755
Fax Number
408-956-6314
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
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Definition
Definition to come...
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