Individual
JACOB D RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Mailing address
2130 STOUT ST, DENVER, CO 80205-2827
(303) 293-2220
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
08/05/2019
Last updated
08/30/2021
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