Rodriguez, June

Rodriguez, June is an sole proprietor health care provider with primary practice located at 30 Hazel Terrace Suite C, Woodbridge CT 06525. 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 / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Rodriguez, June can be contacted via phone (203) 296-0690.

Contact Information

Primary practice address
30 Hazel Terrace Suite C Woodbridge CT 06525
Phone: (203) 296-0690
Fax: (203) 900-0690
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000272 Connecticut
Behavioral Health & Social Service Providers / Professional 101YP2500X 002456 Connecticut

Profile Details

NPI number 1205929577
LBN Legal business name Rodriguez, June
Credentials LPC, LADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 1st, 2006
Last updated Jul 8th, 2015 - 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 1205929577 NPPES
Connecticut MEDICAID 00415120500

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