Search › Connecticut › 101YA0400X

Jacqueline Rodriguez, LADC,CAC,APP

NPI 1003288168 · on the registry since 2015 · sole proprietor

Practice

Address
243 Success Ave
Bridgeport, CT 06610
Phone
(203) 864-8429

Registry record

Primary taxonomy
101YA0400X
101YA0400X
Licence states on file
CT
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2016-10-31

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Connecticut