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Individual

TATIANA H RODRIGUEZ VREM

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCPC, LCADC, NCC,ACS

Contact information

Practice address
10665 STANHAVEN PL, SUITE 3109, WHITE PLAINS, MD 20695-3055
(301) 538-3899
Mailing address
10665 STANHAVEN PLACE, SUITE 3109, WHITE PLAINS, MD 20695
(301) 538-3899

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCA1813
MD
101YP2500X
Professional Counselor
Primary
LC1917
MD

Other

Enumeration date
11/09/2011
Last updated
01/24/2013
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