Mario Rodriguez

NPI #1366960973 in Salt Lake, Utah

Provider Information

NPI Number: 1366960973
Entity Type: Individual
Name: Mario Rodriguez
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Enumeration Date: Sep 4, 2017
Last Updated: Jul 21, 2022

Practice Location

Address: 344 E 100 S STE 301
City: Salt Lake
State: Utah
ZIP Code: 84111
Phone: (801) 428-4257

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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Organizations

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