Individual
MRS. TERESA RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MCMHC, LPC
Contact information
Practice address
13439 BROADWAY EXT, OKLAHOMA CITY, OK 73114-2256
(405) 456-9004
(405) 607-1750
Mailing address
13439 BROADWAY EXT, OKLAHOMA CITY, OK 73114-2256
(405) 456-9004
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
101YP2500X
Professional Counselor
Primary
10998
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/06/2019
Last updated
04/27/2026
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