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Matthew Robert Rodriguez
Addiction (Substance Use Disorder) Counselor in Stockton, California
NPI 1689170821

Matthew Robert Rodriguez is an Addiction (Substance Use Disorder) Counselor based in Stockton, CA and is specialized in Addiction (Substance Use Disorder). Matthew Robert Rodriguez practices in Stockton, CA. The NPI Number for Matthew Robert Rodriguez is 1689170821 and holds a License No. 390017BN (California).

The current practice location address for Matthew Robert Rodriguez is 445 W Weber Ave Ste 129, Stockton, CA and can be reached out via phone at 209-451-3628.

Location: 445 W Weber Ave Ste 129, Stockton, CA, 95203-3146
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1689170821
Provider Name
Matthew Robert Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
445 W Weber Ave Ste 129, Stockton, CA, 95203-3146
Phone Number
209-451-3628
Fax Number
Provider Enumeration Date
04/05/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
445 W Weber Ave Ste 129
City
Stockton
State
California
Zip
95203-3146
Phone Number
209-451-3628
Fax Number
person
Provider Business Mailing Address Details
Address
445 W Weber Ave Ste 129
City
Stockton
State
California
Zip
95203-3146
Phone Number
209-451-3628
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.
390017BN (California)
Definition
Definition to come...
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