Individual
KELLY PRITCHETT RODRIGUES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
301 MARIAH CIR APT E18, BEECH MOUNTAIN, NC 28604-6830
(336) 688-3784
Mailing address
PO BOX 2253, BANNER ELK, NC 28604-2253
(336) 688-3784
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
7441
NC
101YP2500X
Professional Counselor
Primary
7441
NC
106H00000X
Marriage & Family Therapist
IMF 63488
CA
Other
Enumeration date
08/28/2009
Last updated
01/03/2022
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