Individual
JESSICA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATR-P
Contact information
Practice address
4928 PARK RD, CHARLOTTE, NC 28209-3506
(704) 577-6771
Mailing address
4314 CASTLETON RD APT A, CHARLOTTE, NC 28211-3106
(704) 577-6771
Taxonomy
Speciality
Code
Description
License number
State
221700000X
Art Therapist
Primary
25-126
NC
Other
Enumeration date
02/14/2025
Last updated
09/06/2025
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