Individual
MICHELLE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
3900 JUAN TABO NE, SUITE 12, ALBUQUERQUE, NM 87111-8934
(505) 275-6405
(505) 275-6405
Mailing address
3900 JUAN TABO NE, SUITE 12, ALBUQUERQUE, NM 87111-3984
(505) 275-6405
(505) 275-6405
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1736
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
G3981
—
NM
Enumeration date
08/05/2006
Last updated
02/16/2011
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