| Doctor Name: | MOLLY RODRIGUEZ |
| NPI Number: | 1013313428 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC |
| License Number: | 0011957 |
| Business Practice Address: | 1125 Three Springs Blvd Durango, CO - 813019033 |
| Business Phone Number: | 9704030180 |
| Business Fax Number: | 9704030190 |
| Mailing Address: | 1125 Three Springs Blvd, DURANGO |
| State: | CO |
| Postal Code: | 813019033 |
| Phone Number: | 9704030180 |
| Fax Number: | 9704030190 |
| NPI Enumeration Date: | 11/12/2014 |
| NPI Last Update Date: | 11/12/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 0011957 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |