Individual
MARK RODRIGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MED, LPC
Contact information
Practice address
1195 ROOSEVELT AVE, YORK, PA 17404-2350
(717) 843-0800
(717) 843-3222
Mailing address
2330 SYCAMORE RD, YORK, PA 17408-4132
(717) 418-3691
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
PC007481
PA
103K00000X
Behavior Analyst
Primary
PC007481
PA
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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