Individual
JACOB RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMSW
Contact information
Practice address
606 SWANEE DR # 2, AUSTIN, TX 78752-3022
(512) 766-3375
Mailing address
606 SWANEE DR # 2, AUSTIN, TX 78752-3022
(512) 766-3375
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
112133
TX
Other
Enumeration date
04/11/2024
Last updated
04/11/2024
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