Individual
BEATRIZ RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
3997 COMMONS DR W STE B, DESTIN, FL 32541-8444
(850) 737-1712
Mailing address
205 HICKORY ST, FREEPORT, FL 32439-6622
(850) 737-1712
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH20583
FL
101YP2500X
Professional Counselor
84150
TX
Other
Enumeration date
09/06/2022
Last updated
09/06/2022
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