Individual
MRS. SANDRA FAYE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
1939 DIVISION AVE. S, GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Mailing address
1939 DIVISION AVE. S, GRAND RAPIDS, MI 49507
(616) 247-3815
(616) 245-0450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401018420
MI
Other
Enumeration date
10/06/2020
Last updated
08/21/2024
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