Provider Demographics
NPI:1669500377
Name:RODRIGUEZ, ERIKA D (ADM ASSISTANT)
Entity Type:Individual
Prefix:MS
First Name:ERIKA
Middle Name:D
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:ADM ASSISTANT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:761 CAPP ST
Mailing Address - Street 2:APT. 2
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94110-3202
Mailing Address - Country:US
Mailing Address - Phone:510-672-5067
Mailing Address - Fax:415-826-6774
Practice Address - Street 1:820 VALENCIA STREET
Practice Address - Street 2:MISSION COUNCIL
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110
Practice Address - Country:US
Practice Address - Phone:415-826-6767
Practice Address - Fax:415-826-6774
Is Sole Proprietor?:No
Enumeration Date:2007-03-02
Last Update Date:2008-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)