MRS. Jacqueline Rodriguez, LADC,CAC,APP
NPI #1003288168 in Bridgeport, Connecticut
Provider Information
- NPI Number
- 1003288168
- Entity Type
- Individual
- Name
- MRS. Jacqueline Rodriguez, LADC,CAC,APP
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- LADC,CAC,APP
- Enumeration Date
- Oct 28, 2015
- Last Updated
- Oct 31, 2016
Practice Location
- Address
- 243 SUCCESS AVE
- City
- Bridgeport
- State
- Connecticut
- ZIP Code
- 06610-2429
- Phone
- (203) 864-8429
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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