Individual
TARA LYN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LAC
Contact information
Practice address
2950 S ALMA SCHOOL RD STE 11, MESA, AZ 85210-4036
(602) 730-2622
Mailing address
2950 S ALMA SCHOOL RD STE 11, MESA, AZ 85210-4036
(602) 730-2622
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-19366
AZ
Other
Enumeration date
11/14/2023
Last updated
11/14/2023
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