Individual
LISA M RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
(319) 351-4907
Mailing address
430 SOUTHGATE AVE, IOWA CITY, IA 52240-4425
(319) 351-4357
(319) 351-4907
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
007958
IA
Other
Enumeration date
08/22/2023
Last updated
08/22/2023
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