Mr. Jose Antonio Rodriguez
Rehabilitation Practitioner Mental Health Counselor Clinical Social Worker
12625 Heacock St
Moreno Valley
, California 92553-0538
Mr. Jose Antonio Rodriguez
Rehabilitation Practitioner Mental Health Counselor Clinical Social Worker
12625 Heacock St
Moreno Valley
, California 92553-0538
(951) 486-7948
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About
Features
Specialties
- Mental Health Counselor
- Clinical Social Worker
- Rehabilitation Practitioner
Languages spoken
- English
Location
First Address
- Mr. Jose Antonio Rodriguez
- 12625 Heacock St
- Moreno Valley, CA
- Zip : 92553-0538
- Phone : (951) 486-7948
Second Address
- Mr. Jose Antonio Rodriguez
- 12625 Heacock St
- Moreno Valley, CA
- Zip : 92553-0538
- Phone : (951) 486-7948
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Is Mr. Jose Antonio Rodriguez a sole practitioner?
Is Mr. Jose Antonio Rodriguez accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 101YM0800X | Mental Health Counselor | 72189 | CA |
| Y | 1041C0700X | Clinical Social Worker | LCSW94079 | CA |
| N | 225400000X | Rehabilitation Practitioner |
National Provider Identifier
| NPI | 1033585021 |
|---|---|
| Provider Name | Mr. Jose Antonio Rodriguez |
| First Address | Moreno Valley, CA 92553-0538 |
| Second Address | Moreno Valley, CA 92553-0538 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2015 |
| Last Update Date | 18/05/2021 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.