Amadita Rodriguez, CAS

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Newman, CA

NPI 1164555496 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1164555496
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1272 Duck Blind Cir
Newman, CA 95360-1737
Phone
(209) 862-2833
NPI assigned
Mar 14, 2007
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1272 Duck Blind Cir
Newman, CA 95360-1737

Mailing address

1272 Duck Blind Circle
Newman, CA 95360
Phone (209) 862-2833

Other providers in Newman, CA

All providers in Newman, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.