Individual
DR. D. PAUL RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., LPC, LMHC
Contact information
Practice address
2571 N TOLEDO BLADE BLVD, NORTH PORT, FL 34289-9351
(941) 564-8734
(941) 876-3452
Mailing address
PO BOX 6728, NORTH PORT, FL 34290-6728
(941) 564-8734
(941) 876-3452
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401002109
MI
101YP2500X
Professional Counselor
Primary
PMH 675
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MH9594
STATE OF FL
FL
Enumeration date
08/22/2006
Last updated
10/09/2023
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