| Doctor Name: | DAYLIN RODRIGUEZ |
| NPI Number: | 1053718742 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | 2013008259 |
| Business Practice Address: | 1170 W Kansas St Liberty, MO - 640682036 |
| Business Phone Number: | 9138903876 |
| Business Fax Number: | |
| Mailing Address: | 2900 Howell St, KANSAS CITY |
| State: | MO |
| Postal Code: | 641162922 |
| Phone Number: | 8163498410 |
| Fax Number: | |
| NPI Enumeration Date: | 11/25/2014 |
| NPI Last Update Date: | 11/25/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 2013008259 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MO |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |