MEDICARE: SARAH JANE RODRIGUES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor	743	RI

General Provider Information

NPI Number	:	1033561337
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SARAH JANE RODRIGUES

Provider Business Mailing Address
First Line	:	105 BACON ST
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5542
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	105 BACON ST
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02860-5542
Country	:	US
Telephone Number	:	401-722-3560
Fax Number	:	401-722-5280

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/11/2016
Last Update Date	:	01/05/2026

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Directions to “ SARAH JANE RODRIGUES ” Practice Location

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