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General NPI Number Information
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NPI Number | 1265983233
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Entity Type | Individual
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Provider Name | KATHLEEN RODRIGUEZ LMHC
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Gender | Female
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 06/14/2024
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Provider Practice Location Address
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Address Line | 2230 VENETIAN CT STE 1
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City | NAPLES
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State | FL
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Zip | 34109-8727
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Country | US
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Telephone | 239-690-6906
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Fax |
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Provider Business Mailing Address
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Address Line | 2553 KONA WAY
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City | NAPLES
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State | FL
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Zip | 34120-5669
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Country | US
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Telephone | 239-273-9855
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MH16462
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License Number State | FL
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