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Individual
JAEL STEPHANIE RODRIGUEZ
Active
Individual
JAEL STEPHANIE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
247200000X
Other Technician
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
12/09/2020
Last updated
10/09/2023
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