Individual
CHARLIE OBERT COLON RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2980 PARK POND WAY FL 34741, KISSIMMEE, FL 34741-7660
(407) 930-4711
Mailing address
330 SPRINGVIEW DR, SANDFORD, FL 32773, SANDFORD, FL 32773
(787) 685-9113
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
10/21/2022
Last updated
10/21/2022
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