| Juanita Rodriguez Lcsw | |
|
10630 Town Center Dr Suite 121 Rancho Cucamonga CA 91730-6805 | |
| (909) 941-1087 | |
| Not Available |
| Full Name | Juanita Rodriguez Lcsw |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 10630 Town Center Dr, Rancho Cucamonga, California |
| Authorized Official Name and Position | Juanita Conriquez Rodriguez (THERAPIST) |
| Authorized Official Contact | 9097310347 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Juanita Rodriguez Lcsw 120 Morgan Way Upland CA 91786-6443 Ph: (909) 731-0347 | Juanita Rodriguez Lcsw 10630 Town Center Dr Suite 121 Rancho Cucamonga CA 91730-6805 Ph: (909) 941-1087 |
| NPI Number | 1457756462 |
|---|---|
| Provider Enumeration Date | 11/03/2014 |
| Last Update Date | 11/03/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457756462 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | LCSW61472 (California) | Primary |
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