Individual
ISABELLE A RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
4425 JUAN TABO NE, SUITE 207, ALBUQUERQUE, NM 87111-2687
(505) 881-5178
(505) 293-7593
Mailing address
4721 PASO DEL PUMA NE, ALBUQUERQUE, NM 87111-3076
(505) 881-5178
(505) 293-7593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
0146
NM
103T00000X
Psychologist
262285
NM
103TS0200X
School Psychologist
Primary
262285
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
103633
VALUE OPTIONS COMMERCIAL
NM
01
—
201012180
PRESBYTERIAN
NM
01
—
A002
TRICARE
NM
01
—
VNM0243
VALUE OPTIONS VENDER #
NM
Enumeration date
08/21/2006
Last updated
09/12/2012
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