Individual
CHRISTINA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LSW, LICDC
Contact information
Practice address
3125 TRANSVERSE DR, TOLEDO, OH 43614-8008
(419) 383-6843
(419) 383-3338
Mailing address
4510 DORR ST # MS 840, TOLEDO, OH 43615-4040
(419) 383-6843
(419) 383-3338
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ICDC.111076
OH
1041C0700X
Clinical Social Worker
S.1100272
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0186944
—
OH
Enumeration date
02/05/2014
Last updated
12/16/2019
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