Individual
CANDICE MARIE RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1905 BLAKE AVE STE 101, GLENWOOD SPRINGS, CO 81601-4206
(970) 945-2840
(970) 945-2893
Mailing address
6250 W NORTH AVE, CHICAGO, IL 60639-3861
(773) 622-6218
(773) 622-7440
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0013713
CO
101YP2500X
Professional Counselor
178.011800
IL
Other
Enumeration date
06/07/2016
Last updated
01/31/2018
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