Individual
ANA REBECA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
89 HILLSIDE DR, HOLIDAY ISLAND, AR 72631-4658
(479) 253-5767
(479) 253-5777
Mailing address
2558 E MISSION BLVD STE 202, FAYETTEVILLE, AR 72703-5603
(479) 365-4802
(479) 454-4956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
A2208012
AR
101YP2500X
Professional Counselor
Primary
P2502011
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
291278795
—
AR
05
—
344118719
—
AR
Enumeration date
10/24/2022
Last updated
02/11/2026
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