Individual
ADAM RODRIQUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A., LMHC
Contact information
Practice address
1 RICHMOND SQ STE 103K, PROVIDENCE, RI 02906-5166
(401) 615-4505
Mailing address
79 ALBERT AVE, CRANSTON, RI 02905-3809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MHC01058
RI
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
MHC01058
RI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/12/2013
Last updated
03/19/2020
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