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Individual
ALICE RODRIGUEZ
Active
Individual
ALICE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICENSED PROFESSIONA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPPC10720
CA
101YM0800X
Mental Health Counselor
Primary
LPPC10720
CA
101YP2500X
Professional Counselor
LPPC10720
CA
102L00000X
Psychoanalyst
LPPC10720
CA
Other
Enumeration date
01/06/2022
Last updated
01/11/2022
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