| Jamie Rodriguez Llc | |
|
104 W Custer Ave Suite 1 Helena MT 59602-0106 | |
| (406) 465-9738 | |
| (406) 442-6369 |
| Full Name | Jamie Rodriguez Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 104 W Custer Ave, Helena, Montana |
| Authorized Official Name and Position | Jamie Danielle Rodriguez (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4064659738 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jamie Rodriguez Llc Po Box 772 Boulder MT 59632-0772 Ph: (406) 465-9738 | Jamie Rodriguez Llc 104 W Custer Ave Suite 1 Helena MT 59602-0106 Ph: (406) 465-9738 |
| NPI Number | 1265853667 |
|---|---|
| Provider Enumeration Date | 01/02/2014 |
| Last Update Date | 01/02/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265853667 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 647-LCSW (Montana) | Primary |
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