Individual
JOANIVETTE RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
B.S. PSYCH
Contact information
Practice address
3451 SALAND WAY APT 504, JACKSONVILLE, FL 32246
(904) 662-0657
Mailing address
3451 SALAND WAY APT 504, JACKSONVILLE, FL 32246-0809
(904) 662-0657
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
09/08/2014
Last updated
02/19/2019
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