Individual
JENNIFER RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1581 JADESTONE LN, CORONA, CA 92882-3873
(714) 943-2516
Mailing address
1581 JADESTONE LN, CORONA, CA 92882-3873
(714) 943-2516
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
133876
CA
101YP2500X
Professional Counselor
12031
CA
101YP2500X
Professional Counselor
Primary
22215
CA
104100000X
Social Worker
—
—
Other
Enumeration date
08/01/2024
Last updated
03/24/2026
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