Individual
BRENDA L RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT
Contact information
Practice address
50 CENTER ST, ELLENVILLE, NY 12428-1315
(845) 647-3349
Mailing address
15 SAWYER WAY, WALLKILL, NY 12589-2660
(646) 648-3392
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
P87292
NY
Other
Enumeration date
03/08/2013
Last updated
03/08/2013
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