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Myles Rodriguez I
Peer Specialist in Orange, California
NPI 1750882106

Myles Rodriguez I is a Peer Specialist based in Orange, CA. Myles Rodriguez I practices in Orange, CA. The NPI Number for Myles Rodriguez I is 1750882106 and holds a License No. (California).

The current practice location address for Myles Rodriguez I is 1855 W Katella Ave, Orange, CA and can be reached out via phone at 714-399-3480 and via fax at 714-399-3481. You can also correspond with Myles Rodriguez I through the mailing address at 1855 W KATELLA AVE, ORANGE, CA - 92867-3451 (mailing address contact number: 714-399-3480).

Location: 1855 W Katella Ave, Orange, CA, 92867-3451
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1750882106
Provider Name
Myles Rodriguez I
Credential
Provider Entity Type
Individual
Gender
Male
Address
1855 W Katella Ave, Orange, CA, 92867-3451
Phone Number
714-399-3480
Fax Number
714-399-3481
Provider Enumeration Date
02/21/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
1855 W Katella Ave
City
Orange
State
California
Zip
92867-3451
Phone Number
714-399-3480
Fax Number
714-399-3481
person
Provider Business Mailing Address Details
Address
1855 W Katella Ave
City
Orange
State
California
Zip
92867-3451
Phone Number
714-399-3480
Fax Number
714-399-3481
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
(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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