| Doctor Name: | ELIANA RODRIGUEZ |
| NPI Number: | 1013376847 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 612 Spring Rd Building B Suite 201 Moorpark, CA - 930211298 |
| Business Phone Number: | 8054856114 |
| Business Fax Number: | 8055321855 |
| Mailing Address: | 612 Spring Rd, Building B Suite 201 MOORPARK |
| State: | CA |
| Postal Code: | 930211298 |
| Phone Number: | 8054856114 |
| Fax Number: | 8055321855 |
| NPI Enumeration Date: | 02/22/2016 |
| NPI Last Update Date: | 02/22/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |