Rodriguez, Jacqueline Marie

Rodriguez, Jacqueline Marie is an individual health care provider with primary practice located at 9628 Glacier Creek Way , Elk Grove CA 95624-6079. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rodriguez, Jacqueline Marie can be contacted via phone (916) 761-2787.

Contact Information

Primary practice address
9628 Glacier Creek Way Elk Grove CA 95624-6079
Phone: (916) 761-2787
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Clinical 1041C0700X LCS24751 California

Profile Details

NPI number 1578672465
LBN Legal business name Rodriguez, Jacqueline Marie
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 30th, 2006
Last updated Jan 7th, 2021 - about 3 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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