Individual
DIANE R. RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
55 HOPE ST, C/O FAMILY SERVICE OF RHODE ISLAND, PROVIDENCE, RI 02906-2001
(401) 331-1350
(401) 277-3366
Mailing address
44 ROUNDS AVE, PROVIDENCE, RI 02907-3516
(401) 331-1350
(401) 277-3366
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHC00273
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1021740
NHP/BEACON GROUP NUMBER
—
01
—
31481-9
BLUE CROSS/SHIELD
RI
01
—
413396
BLUE CHIP
—
05
—
DR59035
—
RI
Enumeration date
08/01/2006
Last updated
07/08/2007
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