Doctor Name: | MR. CARLOS RODRIGUEZ |
NPI Number: | 1073689303 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LMFT |
License Number: | |
Business Practice Address: | 7839 Burgundy Ave. Lamont, CA - 93241 |
Business Phone Number: | 6618455100 |
Business Fax Number: | |
Mailing Address: | 1400 S Union Ave, Suite 100 BAKERSFIELD |
State: | CA |
Postal Code: | 933074179 |
Phone Number: | 6613978775 |
Fax Number: | 6613978286 |
NPI Enumeration Date: | 11/28/2006 |
NPI Last Update Date: | 12/08/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |