GUSTAVO ALBERT RODRIGUEZ

YUMA, AZ
NPI1073670253
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: AZ  LISAC-1257)
Enumeration Date2007-01-03
Last Update Date2007-07-08
Business Address
Mr. GUSTAVO ALBERT RODRIGUEZ LISAC
3802 W 16TH ST
YUMA, AZ 85364-4107
Phone number: 928-376-0026
Mailing Address
Mr. GUSTAVO ALBERT RODRIGUEZ LISAC
3802 W 16TH ST
YUMA, AZ 85364-4107
Phone number: 928-376-0026
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