Individual
KAREN A. RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LISW, LMHP, CMSW
Contact information
Practice address
118 N ELM ST, AVOCA, IA 51521-0399
(712) 307-6014
(712) 307-6015
Mailing address
PO BOX 399, AVOCA, IA 51521-0399
(712) 307-6014
(712) 307-6015
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
06578
IA
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
06578
LISW
IA
01
—
1110
CMSW
NE
01
—
2705
LMHP
NE
05
—
816656000
—
IA
Enumeration date
01/24/2007
Last updated
10/07/2020
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