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NPI Code Detail

MEDICARE: BRANDI RODRIGUEZ MS, NCC, LPC

MEDICARE:   BRANDI  RODRIGUEZ  MS, NCC, LPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor76940TX

General Provider Information

NPI Number : 1073059440
Entity Type Code : Individual
Provider Name (Legal Business Name) : BRANDI RODRIGUEZ MS, NCC, LPC
Provider Business Mailing Address
First Line : 3049 AIRHAVEN ST
Second Line :
City : DALLAS
State : TX
Zip : 75229-2450
Country : US
Telephone Number : 903-720-0531
Fax Number :
Provider Business Practice Location Address
First Line : 3049 AIRHAVEN ST
Second Line :
City : DALLAS
State : TX
Zip : 75229-2450
Country : US
Telephone Number : 903-720-0531
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/10/2017
Last Update Date : 07/24/2023

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Directions to “ BRANDI RODRIGUEZ MS, NCC, LPC” Practice Location

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