Rodriguez, David

Rodriguez, David is an individual health care provider with primary practice located at 5330 San Bernardino St , Montclair CA 91763-2952. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Rodriguez, David can be contacted via phone (909) 399-3737.

Contact Information

Primary practice address
5330 San Bernardino St Montclair CA 91763-2952
Phone: (909) 399-3737
Fax: (909) 399-3750
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCSW#5206 California

Profile Details

NPI number 1417150095
LBN Legal business name Rodriguez, David
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2007
Last updated Jul 8th, 2007 - about 19 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 1417150095 NPPES
California Other LCSW#5206 LICENSED CLINICAL SOCIAL

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