Individual
NITZA IVETTE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
21 WILLOW POND WAY, PENFIELD, NY 14526-2687
(585) 385-6030
Mailing address
21 WILLOW POND WAY STE 103, PENFIELD, NY 14526-2687
(585) 385-6030
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
000881
NY
Other
Enumeration date
10/24/2018
Last updated
10/24/2018
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