| Doctor Name: | JESSICA RODRIGUEZ |
| NPI Number: | 1235512674 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 70416 |
| Business Practice Address: | 603 E Kleberg Ave Kingsville, TX - 783634671 |
| Business Phone Number: | 3615926058 |
| Business Fax Number: | 3615927843 |
| Mailing Address: | 3833 S Staples St, Suite S-203 CORPUS CHRISTI |
| State: | TX |
| Postal Code: | 784115201 |
| Phone Number: | 3618529665 |
| Fax Number: | 3618522794 |
| NPI Enumeration Date: | 07/02/2015 |
| NPI Last Update Date: | 07/02/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 70416 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TX |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |