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Organization

INTEGRATED MARRIAGE & FAMILY THERAPY, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CHRISTOPHER PAUL RODRIGUEZ LMFT (THERAPIST)
(336) 701-1300
Entity
Organization

Contact information

Practice address
100B STADIUM OAKS DR, CLEMMONS, NC 27012-8961
(336) 701-1300
Mailing address
100B STADIUM OAKS DR, CLEMMONS, NC 27012-8961
(336) 701-1300

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary

Other

Enumeration date
09/09/2024
Last updated
09/09/2024
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