Healthcare Provider Details

I. General information

NPI: 1225436652
Provider Name (Legal Business Name): MARCELINO RODRIGUEZ JR. LMFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/17/2014
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

690 EAST DR
HANFORD CA
93230-5960
US

IV. Provider business mailing address

690 EAST DR
HANFORD CA
93230-5960
US

V. Phone/Fax

Practice location:
  • Phone: 559-852-2974
  • Fax: 559-589-0272
Mailing address:
  • Phone: 559-852-2974
  • Fax: 559-589-0272

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number128666
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: