Individual
MS. ALEXIS RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APCC
Contact information
Practice address
1420 S MILLIKEN AVE, ONTARIO, CA 91761-2336
(909) 983-2020
Mailing address
3755 CAMELLIA DR, SAN BERNARDINO, CA 92404-2014
(909) 246-5976
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
11809
CA
Other
Enumeration date
04/10/2024
Last updated
11/01/2024
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