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1891487864
JESSE JAMES RODRIGUEZ
EUREKA, CA
NPI
1891487864
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2023-05-25
Last Update Date
2023-05-25
Business Address
JESSE JAMES RODRIGUEZ RADT
1024 N ST
EUREKA, CA 95501-2047
Phone number: 707-444-6262
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Mailing Address
JESSE JAMES RODRIGUEZ RADT
PO BOX 6310
EUREKA, CA 95502-6310
Phone number: 707-443-4237
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