Doctor Name: | MRS. MONICA ANN RODRIGUEZ |
NPI Number: | 1053697995 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | R.A.S. |
License Number: | |
Business Practice Address: | 1131 San Felipe Rd Hollister, CA - 950232800 |
Business Phone Number: | 8316364020 |
Business Fax Number: | 8316364025 |
Mailing Address: | 1131 San Felipe Rd, HOLLISTER |
State: | CA |
Postal Code: | 950232800 |
Phone Number: | 8316364020 |
Fax Number: | 8316364025 |
NPI Enumeration Date: | 10/24/2011 |
NPI Last Update Date: | 10/24/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |