Individual
JAYLEEN I RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 MAIN ST, NORTHAMPTON, PA 18067-1613
(484) 925-3103
Mailing address
1303 MAIN ST, NORTHAMPTON, PA 18067-1613
(484) 925-3103
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
APC001900
PA
Other
Enumeration date
04/13/2026
Last updated
04/13/2026
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