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Individual

DR. VANESSA VICTORIA RODRIGUEZ VARGAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PSYAD, LMHC

Contact information

Practice address
10 DERNE ST STE 402, BOSTON, MA 02114-4203
(617) 903-0968
(857) 219-2227
Mailing address
10 DERNE ST STE 402, BOSTON, MA 02114-4203
(617) 903-0968
(857) 219-2227

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
10000230
MA
103TC0700X
Clinical Psychologist
10000230
MA
103TC1900X
Counseling Psychologist
10000230
MA
103TP0814X
Psychoanalysis Psychologist
Primary
10000230
MA

Other

Enumeration date
03/25/2019
Last updated
05/06/2025
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