Individual
JAMIE SUSAN ROSALVA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC-A
Contact information
Practice address
1234 N COURTLAND AVE, KOKOMO, IN 46901-2754
(765) 860-8365
Mailing address
1234 N COURTLAND AVE, KOKOMO, IN 46901-2754
(765) 860-8365
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88002276A
IN
Other
Enumeration date
06/10/2025
Last updated
06/10/2025
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