Doctor Name: | MRS. BRIGIDA ANA RODRIGUEZ |
NPI Number: | 1366880072 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPCMH |
License Number: | PC-0000639 |
Business Practice Address: | 52 Castle Run Dr Bear, DE - 197011416 |
Business Phone Number: | 3028985184 |
Business Fax Number: | 3028321919 |
Mailing Address: | 52 Castle Run Dr, BEAR |
State: | DE |
Postal Code: | 197011416 |
Phone Number: | 3028985184 |
Fax Number: | 3028321919 |
NPI Enumeration Date: | 06/05/2013 |
NPI Last Update Date: | 06/05/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | PC-0000639 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DE |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |