| Mrs Jacqueline Rodriguez, LADC,CAC,APP | |
|
243 Success Ave, Bridgeport, CT 06610-2429 | |
| (203) 864-8429 | |
| Not Available |
| Full Name | Mrs Jacqueline Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 243 Success Ave, Bridgeport, Connecticut |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003288168 | NPI | - | NPPES |
| 060669107 | Other | CT | HEALTHYCT WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH- CONNECTICARE WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH-UNITED HEALTHCARE WELLMORE GRP/FACILITY |
| ICADC-5511 | Other | CT | ICADC INTERNATIONALLY CERTIFIED ADDICTION COUNSELOR CCB |
| CAC-5511 | Other | CT | CAC- CERTIFIED ADDICTION COUNSELOR CCB |
| PENDING | Other | CT | AETNA BEHAVIORAL HEALTH |
| PENDING | Other | CT | CAQH |
| PENDING | Other | CT | MHN MANAGED HEALTH NETWORK |
| 060669107 | Other | CT | UNITED BEHAVIORAL HEALTH- OPTUM WELLMORE GRP/FACILITY |
| 060669107 | Other | CT | UBH-OXFORD HEALTH LIBERTY/FREEDOM WELLMORE GRP/FACILITY |
| APP-5511 | Other | CT | APP ASSOCIATE PREVENTION PROFESSIONAL CCB |
| 060669107 | Other | CT | ANTHEM BCBS OF CT WELLMORE GRP/FACILITY |
| PENDING | Other | CT | CIGNA BEHAVIORAL HEALTH |
| PENDING | Other | CT | MHN TRICARE NORTH |
| PENDING | Medicaid | CT |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 001104 (Connecticut) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Jacqueline Rodriguez, LADC,CAC,APP 243 Success Ave, Bridgeport, CT 06610-2429 Ph: (203) 864-8429 | Mrs Jacqueline Rodriguez, LADC,CAC,APP 243 Success Ave, Bridgeport, CT 06610-2429 Ph: (203) 864-8429 |
Ms. Trisha J Coombs, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1120 Main St, Bridgeport, CT 06604 Phone: 203-368-9755 Fax: 203-368-9760 | |
Regine Toussaint, LPC-A Counselor Medicare: Not Enrolled in Medicare Practice Location: 4699 Main St Ste 210, Bridgeport, CT 06606 Phone: 120-320-8394 | |
Ms. Kathleen L. Manalis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1046 Fairfield Ave, Bridgeport, CT 06605 Phone: 203-330-6054 Fax: 203-331-4716 | |
Marcela Haendler, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 475 Clinton Ave, Bridgeport, CT 06605 Phone: 203-368-4291 Fax: 203-368-9167 | |
Claude Louis, Counselor Medicare: Not Enrolled in Medicare Practice Location: 46 Albion St, Bridgeport, CT 06605 Phone: 203-644-4422 | |
Mrs. Luz Mora, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 850 Birmingham St, Bridgeport, CT 06606 Phone: 475-312-5285 |