Rodriguez, Guadalupe
Rodriguez, Guadalupe is an sole proprietor health care provider with primary practice located at 2613 Harkness St , Sacramento CA 95818-2327. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical, Agencies / Community/Behavioral Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rodriguez, Guadalupe can be contacted via phone (916) 396-0835.Contact Information
Primary practice address
2613 Harkness St
Sacramento CA 95818-2327
Phone: (916) 396-0835
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | ||
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LCS26961 | California |
| Agencies / Community/Behavioral Health | 251S00000X |
Profile Details
| NPI number | 1295929685 |
|---|---|
| LBN Legal business name | Rodriguez, Guadalupe |
| Credentials | LCSW #26961 |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 29th, 2007 |
| Last updated | Nov 14th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1295929685 | NPPES |
| California | Other | 38CBIN | HORIZONS MHSA |
| California | Other | 38241 | HORIZONS MHSA |
| California | Other | 943007538 | HORIZONS MHSA |
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