person
Jack Rodriguez
Professional Counselor in Pontiac, Michigan
NPI 1992323281

Jack Rodriguez is a Professional Counselor based in Rochester, MI and is specialized in Professional. Jack Rodriguez practices in Pontiac, MI. The NPI Number for Jack Rodriguez is 1992323281 and holds a License No. 6401018434 (Michigan).

The current practice location address for Jack Rodriguez is 114 Orchard Lake Rd, Pontiac, MI and can be reached out via phone at 248-858-7766.

Location: 114 Orchard Lake Rd, Pontiac, MI, 48307-1271
person
Provider Profile Details
NPI Number
1992323281
Provider Name
Jack Rodriguez
Credential
Provider Entity Type
Individual
Gender
Male
Address
114 Orchard Lake Rd, Pontiac, MI, 48307-1271
Phone Number
248-858-7766
Fax Number
Provider Enumeration Date
07/13/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
114 Orchard Lake Rd
City
State
Zip
48341-2244
Phone Number
248-858-7766
Fax Number
person
Provider Business Mailing Address Details
Address
114 Orchard Lake Rd
City
State
Zip
48341-2244
Phone Number
248-858-7766
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
6401018434 (Michigan)
Definition
Definition to come...
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