Individual
TAHIRA CHANTA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC, NCC, C-SSW
Contact information
Practice address
160 BROAD ST, BLOOMFIELD, NJ 07003-2628
(862) 202-5320
Mailing address
160 BROAD ST, BLOOMFIELD, NJ 07003-2628
(862) 202-5320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00958400
NJ
Other
Enumeration date
01/22/2018
Last updated
01/14/2026
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