person
Jorge Ernesto Rodriguez
Addiction (Substance Use Disorder) Counselor in Los Angeles, California
NPI 1841850104

Jorge Ernesto Rodriguez is an Addiction (Substance Use Disorder) Counselor based in Los Angeles, CA and is specialized in Addiction (Substance Use Disorder). Jorge Ernesto Rodriguez practices in Los Angeles, CA. The NPI Number for Jorge Ernesto Rodriguez is 1841850104 and holds a License No. R1338930219 (California).

The current practice location address for Jorge Ernesto Rodriguez is 2032 Marengo St, Los Angeles, CA and can be reached out via phone at 323-517-5646.

Location: 2032 Marengo St, Los Angeles, CA, 90033-1319
person
Provider Profile Details
NPI Number
1841850104
Provider Name
Jorge Ernesto Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
2032 Marengo St, Los Angeles, CA, 90033-1319
Phone Number
323-517-5646
Fax Number
Provider Enumeration Date
06/19/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
C2349340 01 CA CDL
institution
Provider Business Practice Location Address Details
Address
2032 Marengo St
City
State
Zip
90033-1319
Phone Number
323-517-5646
Fax Number
person
Provider Business Mailing Address Details
Address
2032 Marengo St
City
State
Zip
90033-1319
Phone Number
323-517-5646
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1338930219 (California)
Definition
Definition to come...
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