Individual
BRENDA KEENAN RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LMFT
Contact information
Practice address
8347 DATUM LN, BALDWINSVILLE, NY 13027-6201
(315) 491-1100
Mailing address
8347 DATUM LN, BALDWINSVILLE, NY 13027-6201
(315) 622-9731
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000083
NY
Other
Enumeration date
07/12/2009
Last updated
07/12/2009
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