Individual
STEPHANIE ANN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
(409) 839-1000
(409) 839-1066
Mailing address
2750 S 8TH ST, BEAUMONT, TX 77701-7719
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11915
TX
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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