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Individual

MR. AGUSTIN RODRIGUEZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LMFT 122485

Contact information

Practice address
1126 W FOOTHILL BLVD STE 110, UPLAND, CA 91786-3786
(909) 985-0513
(909) 985-7193
Mailing address
1126 W FOOTHILL BLVD STE 110, UPLAND, CA 91786-3786
(909) 985-0513
(909) 985-7193

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
122485
CA

Other

Enumeration date
07/27/2023
Last updated
07/27/2023
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