Individual
GUADALUPE DECLET RODRIGUEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1903 HUMANKIND WAY, LYNCHBURG, VA 24503-6313
(434) 846-1124
(434) 846-1052
Mailing address
1903 HUMANKIND WAY, LYNCHBURG, VA 24503-6313
(434) 846-1124
(434) 846-1052
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701011710
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A60426548
DRIVER'S LICENSE
VA
Enumeration date
08/18/2022
Last updated
08/18/2022
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