JUAN M RODRIGUEZ SUDPT
NPI 1477185288
Counselor - Addiction (Substance Use Disorder) in Omak, WA
Active since February 10, 2020
About Juan M Rodriguez Sudpt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JUAN M RODRIGUEZ SUDPT (NPI 1477185288) is an individual addiction (substance use disorder) provider in Omak, Washington, licensed in Washington (CO61034274) and active in the NPI registry since February 2020.
NPPES Registry Identity
NPI1477185288
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJUAN M RODRIGUEZCredential: SUDPT
Location Address1007 KOALA DROmak, WA 98841-9247
Mailing Address1007 Koala DrOmak, WA 98841-9247 · (509) 826-6191 · Fax (509) 826-3029
Phone(509) 826-6191
Fax(509) 826-3029
Sole ProprietorNo
Enumeration DateFebruary 10, 2020
✔ NPI 1477185288 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CO61034274
1007 KOALA DR, Omak, WA 98841
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477185288, enumerated as an "individual" on February 10, 2020.
The provider is located at 1007 KOALA DR OMAK, WA 98841 and the phone number is (509) 826-6191.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
