Individual
LUIS DAVID RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 276-4193
Mailing address
355 PRAIRIE AVE, PROVIDENCE, RI 02905-1928
(401) 276-4193
(401) 383-5737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC01325
RI
Other
Enumeration date
07/23/2018
Last updated
02/08/2022
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