Doctor Name: | MS. ANDREA ANN RODRIGUEZ |
NPI Number: | 1134480577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 67101 |
Business Practice Address: | 151 Medical Dr Pearsall, TX - 780616604 |
Business Phone Number: | 8303177639 |
Business Fax Number: | |
Mailing Address: | Po Box 414, 208 M. Market COTULLA |
State: | TX |
Postal Code: | 780140414 |
Phone Number: | 8303177639 |
Fax Number: | |
NPI Enumeration Date: | 06/01/2012 |
NPI Last Update Date: | 06/01/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 67101 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |