Individual
MRS. REGINA MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
5807 HARFORD RD, BALTIMORE, MD 21214-1895
(410) 444-2100
(410) 426-1140
Mailing address
2702 GIBBONS AVE APT 1, BALTIMORE, MD 21214-2161
(443) 710-1919
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC14593
MD
Other
Enumeration date
03/26/2024
Last updated
03/26/2024
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