Individual
STEPHANY RODRIGUEZ-MORENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, ADDC
Contact information
Practice address
2017 LAVA LN, ALAMOSA, CO 81101-3578
(970) 964-2763
Mailing address
2017 LAVA LN, ALAMOSA, CO 81101-3578
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPCC.0022689
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ADDC.0000562
CO
Other
Enumeration date
03/28/2025
Last updated
04/07/2025
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