Individual
CARMEN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1330 E COOLEY DR, COLTON, CA 92324-3905
(909) 580-3705
Mailing address
1018 N SYCAMORE AVE, RIALTO, CA 92376-4422
(909) 518-9977
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/20/2015
Last updated
05/20/2015
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