Individual
ANGELA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4730 BECKNER ROAD, SANTA FE, NM 87507
(505) 989-4500
(505) 443-8360
Mailing address
2504 CAMINO ENTRADA, SANTA FE, NM 87507-4851
(505) 471-5006
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
M-10929
NM
104100000X
Social Worker
SWB-2022-0050
NM
1041C0700X
Clinical Social Worker
Primary
SWB-2022-0050
NM
Other
Enumeration date
07/19/2018
Last updated
08/23/2023
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