Individual
FORTINO RODRIGUEZ SANCHEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC
Contact information
Practice address
520 OSBORNE RD NE STE 210, FRIDLEY, MN 55432-2718
(763) 236-4300
Mailing address
2925 CHICAGO AVE, MINNEAPOLIS, MN 55407-1321
(612) 262-9000
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305506
MN
101YM0800X
Mental Health Counselor
3184
MN
101YP2500X
Professional Counselor
03184
MN
103T00000X
Psychologist
Primary
LP7278
MN
Other
Enumeration date
07/04/2024
Last updated
01/05/2026
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