Individual
MR. KEVIN MICHAEL RODRIGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC 7884
Contact information
Practice address
4323 DIVISION ST, METAIRIE, LA 70002-3184
(504) 410-7008
Mailing address
4323 DIVISION ST STE 102, METAIRIE, LA 70002-3179
(504) 410-7008
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1183
LA
101YM0800X
Mental Health Counselor
Primary
7884
LA
Other
Enumeration date
02/15/2007
Last updated
10/11/2023
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