Individual
KATHY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5950 S WILLOW DR STE 308, GREENWOOD VILLAGE, CO 80111-5177
(303) 927-6631
Mailing address
646 S FULTON AVE, FORT LUPTON, CO 80621-1261
(973) 356-9520
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
.0017753
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
16057439
CAQH
CO
Enumeration date
11/18/2021
Last updated
10/30/2023
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