Individual
DIANA RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1640 POWERS FERRY RD SE, BLDG 9, SUITE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Mailing address
1640 POWERS FERRY RD SE, BLDG 9, SUITE 100, MARIETTA, GA 30067-5491
(770) 953-0080
(770) 953-0031
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004853
GA
Other
Enumeration date
10/03/2006
Last updated
06/10/2017
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