Individual
DR. JARISKA K RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY.D., LPC
Contact information
Practice address
514 W OGLETHORPE BLVD, ALBANY, GA 31701-2838
(205) 304-1506
Mailing address
3143 CANE MILL DR, ALBANY, GA 31721-7114
(229) 789-4400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC008506
GA
103TF0200X
Forensic Psychologist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003172200A
—
GA
Enumeration date
05/19/2008
Last updated
11/28/2022
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