Individual
MARY TERESA RODRIGUES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC/LADAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CAD0163871
NM
101YM0800X
Mental Health Counselor
0120871
NM
101YP2500X
Professional Counselor
1106 LCPC
MT
101YP2500X
Professional Counselor
Primary
CCMH0120871
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N0014612
—
NM
Enumeration date
12/13/2006
Last updated
06/09/2026
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