Individual
PATRICIA DOLORES RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
0091511
NM
101YM0800X
Mental Health Counselor
CCMH0134511
NM
101YP2500X
Professional Counselor
Primary
CCMH0134511
NM
101YS0200X
School Counselor
316734
NM
103T00000X
Psychologist
316734
NM
103TC0700X
Clinical Psychologist
CCMH0134511
NM
103TC1900X
Counseling Psychologist
316734
NM
103TC2200X
Clinical Child & Adolescent Psychologist
316734
NM
103TP2701X
Group Psychotherapy Psychologist
316734
NM
103TR0400X
Rehabilitation Psychologist
316734
NM
103TS0200X
School Psychologist
316734
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
90524071
—
NM
Enumeration date
01/07/2009
Last updated
06/15/2021
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