| Doctor Name: | MRS. HELEN RODRIGUEZ |
| NPI Number: | 1548674377 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LICDC-CS |
| License Number: | 882474 |
| Business Practice Address: | 501 Thompson Rd Conneaut, OH - 440308668 |
| Business Phone Number: | 4405994174 |
| Business Fax Number: | 4405935574 |
| Mailing Address: | 3641 Tacoma Ave, LORAIN |
| State: | OH |
| Postal Code: | 440552222 |
| Phone Number: | 4402589799 |
| Fax Number: | |
| NPI Enumeration Date: | 06/19/2014 |
| NPI Last Update Date: | 06/19/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 882474 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |