Individual
MR. ANTHONY M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
QMHP, LCPC
Contact information
Practice address
1625 N ARTESIAN AVE UNIT 1, CHICAGO, IL 60647-5308
(219) 781-3561
Mailing address
1625 N ARTESIAN AVE UNIT 1, CHICAGO, IL 60647-5308
(219) 781-3561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/17/2020
Last updated
01/17/2020
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