Doctor Name: | MS. RITA A RODRIGUEZ MORENO |
NPI Number: | 1003191826 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LPC |
License Number: | 66215 |
Business Practice Address: | 12274 Bandera Rd Suite 238 Helotes, TX - 780234385 |
Business Phone Number: | 2108385514 |
Business Fax Number: | |
Mailing Address: | 12274 Bandera Rd, Suite 238 HELOTES |
State: | TX |
Postal Code: | 780234385 |
Phone Number: | 2108385514 |
Fax Number: | |
NPI Enumeration Date: | 10/12/2011 |
NPI Last Update Date: | 10/12/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 66215 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |