Individual
BRANDON MICHAEL RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
520 S MAIN ST, BELTON, TX 76513-3462
(254) 813-3029
(254) 939-3996
Mailing address
520 S MAIN ST, BELTON, TX 76513-3462
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
76561
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
76561
TEXAS STATE BOARD OF EXAMINERS
TX
Enumeration date
09/19/2018
Last updated
09/19/2018
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