Individual
ALISSA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9016 SW 152ND ST, PALMETTO BAY, FL 33157-1928
(786) 759-9461
Mailing address
9016 SW 152ND ST, PALMETTO BAY, FL 33157-1928
(786) 759-9461
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
MH21152
FL
101YM0800X
Mental Health Counselor
Primary
MH21152
FL
Other
Enumeration date
10/10/2014
Last updated
01/17/2023
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