person
Carlos Rodriguez, CASAC-T
Addiction (Substance Use Disorder) Counselor in Commack, New York
NPI 1619399045

Carlos Rodriguez is an Addiction (Substance Use Disorder) Counselor based in Medford, NY and is specialized in Addiction (Substance Use Disorder). Carlos Rodriguez practices in Commack, NY and has the professional credentials of CASAC-T. The NPI Number for Carlos Rodriguez is 1619399045 and holds a License No. 26042 (New York).

The current practice location address for Carlos Rodriguez is 155 Indian Head Rd, Commack, NY and can be reached out via phone at 631-543-6200.

Location: 155 Indian Head Rd, Commack, NY, 11763-3503
person
Provider Profile Details
NPI Number
1619399045
Provider Name
Carlos Rodriguez
Credential
CASAC-T
Provider Entity Type
Individual
Gender
Male
Address
155 Indian Head Rd, Commack, NY, 11763-3503
Phone Number
631-543-6200
Fax Number
Provider Enumeration Date
01/21/2014
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
26042 01 NY OASAS CERTIFICATE
institution
Provider Business Practice Location Address Details
Address
155 Indian Head Rd
City
State
Zip
11725-2212
Phone Number
631-543-6200
Fax Number
person
Provider Business Mailing Address Details
Address
155 Indian Head Rd
City
State
Zip
11725-2212
Phone Number
631-543-6200
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
26042 (New York)
Definition
Definition to come...
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