| Juanita Rodriguez, Accs | |
|
2620 College Park Scottsbluff NE 69361-2295 | |
| (308) 630-6561 | |
| (308) 630-6565 |
| Full Name | Juanita Rodriguez, Accs |
|---|---|
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 2620 College Park, Scottsbluff, Nebraska |
| Authorized Official Name and Position | Juanita Marie Rodriguez (PRESIDENT) |
| Authorized Official Contact | 3086306561 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Rodriguez, Accs 2620 College Park Scottsbluff NE 69361-2295 Ph: (308) 630-6561 | Juanita Rodriguez, Accs 2620 College Park Scottsbluff NE 69361-2295 Ph: (308) 630-6561 |
| NPI Number | 1659629350 |
|---|---|
| Provider Enumeration Date | 08/28/2012 |
| Last Update Date | 08/28/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659629350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 20 (Nebraska) | Primary |
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