Individual
BIANCA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6918 W WINDSOR AVE, BERWYN, IL 60402-3334
(708) 745-5277
Mailing address
6918 W WINDSOR AVE, BERWYN, IL 60402-3334
(708) 745-5277
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2020
Last updated
01/22/2020
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