Individual
BRENDA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.S.W.
Contact information
Practice address
1328 W MANCHESTER AVE, LOS ANGELES, CA 90044-2240
(323) 778-9595
(323) 778-0028
Mailing address
1828 E CESAR E CHAVEZ AVE STE 6100, LOS ANGELES, CA 90033-2597
(323) 859-3634
(323) 987-1212
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
86663
CA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2012
Last updated
12/10/2021
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