Rodriguez, Alicia Ibeth

Rodriguez, Alicia Ibeth is an individual health care provider with primary practice located at 202 N 8Th St , El Centro CA 92243-2302. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Rodriguez, Alicia Ibeth can be contacted via phone (442) 265-1525.

Contact Information

Primary practice address
202 N 8Th St El Centro CA 92243-2302
Phone: (442) 265-1525
Fax: (442) 265-1638
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Counselor 101Y00000X

Profile Details

NPI number 1114370780
LBN Legal business name Rodriguez, Alicia Ibeth
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2016
Last updated Oct 10th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114370780 NPPES
California MEDICAID 953069805

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