Individual
LORIE LYNN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
7703 N LAMAR BLVD, STE 300, AUSTIN, TX 78752-1027
(512) 206-4213
(512) 206-4286
Mailing address
1202 HIGHLAND DR, CEDAR PARK, TX 78613-7119
(512) 786-8811
(512) 986-7740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
10427
TX
Other
Enumeration date
05/17/2010
Last updated
12/13/2010
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