person
Angel Rodriguez
Mental Health Counselor in Oakland, California
NPI 1952596439

Angel Rodriguez is a Mental Health Counselor based in Oakland, CA and is specialized in Mental Health. Angel Rodriguez practices in Oakland, CA. The NPI Number for Angel Rodriguez is 1952596439 and holds a License No. (California).

The current practice location address for Angel Rodriguez is 1501 Fruitvale Ave, Oakland, CA and can be reached out via phone at 510-535-6200 and via fax at 510-535-4167.

Location: 1501 Fruitvale Ave, Oakland, CA, 94601
person
Provider Profile Details
NPI Number
1952596439
Provider Name
Angel Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Fruitvale Ave, Oakland, CA, 94601
Phone Number
510-535-6200
Fax Number
510-535-4167
Provider Enumeration Date
09/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
FQHC 05-1063 01 CA MEDICARE PART A
FQHC ZZZ29799Z 01 CA MEDICARE PART B
institution
Provider Business Practice Location Address Details
Address
1501 Fruitvale Ave
City
State
Zip
94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider Business Mailing Address Details
Address
1501 Fruitvale Ave
City
State
Zip
94601-2322
Phone Number
510-535-6200
Fax Number
510-535-4167
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
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Definition
Definition to come...
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