Individual
GINA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-S, LMFT-S
Contact information
Practice address
1415 W 51ST ST UNIT 1, AUSTIN, TX 78756-2659
(512) 201-4501
Mailing address
1415 W 51ST ST UNIT 1, AUSTIN, TX 78756-2659
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
72444
TX
106H00000X
Marriage & Family Therapist
202141
TX
Other
Enumeration date
04/09/2025
Last updated
04/15/2025
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