NPI 1003288168

Jacqueline Rodriguez, LADCCACAPP

Practitioner Addiction (Substance Use Disorder) Counselor Bridgeport, CT

Practice location

Address: 243 Success Ave, Bridgeport, CT 06610-2429
Phone: (203) 864-8429

Registered specialties

Addiction (Substance Use Disorder) Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YA0400X Licence 001104 (CT)

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Registry record

NPI: 1003288168
Entity type: Individual
Sex (as registered): Female
NPI issued: 28 Oct 2015
Record last updated: 31 Oct 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.