Individual
IRVING RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA
Contact information
Practice address
2927 N 5TH ST, PHILADELPHIA, PA 19133-2800
(484) 221-9136
(484) 221-9130
Mailing address
2030 TILGHMAN STREET, SUITE 105B, ALLENTOWN, PA 18104-4354
(484) 221-9136
(434) 221-9130
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/31/2010
Last updated
08/31/2010
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