Individual
MRS. TERESA A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA
Contact information
Practice address
1607 SW 15TH ST, OKLAHOMA CITY, OK 73108-6803
(405) 634-0508
(405) 616-5678
Mailing address
11725 RED CEDAR RD, GUTHRIE, OK 73044-8280
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
05/17/2007
Last updated
07/08/2007
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