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NPI 1609412261

NPI 1609412261 : ERIKA HILDEGARD RODRIGUEZ LMHC : MONTGOMERY, NY

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General NPI Number Information
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    NPI Number           |    1609412261
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    Entity Type          |    Individual 
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    Provider Name        |    ERIKA HILDEGARD RODRIGUEZ LMHC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/19/2019
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    Last Update Date     |    08/15/2025
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Provider Practice Location Address
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    Address Line         |    2331 STATE ROUTE 17K 
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    City                 |    MONTGOMERY
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    State                |    NY
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    Zip                  |    12549-1800
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    Country              |    US
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    Telephone            |    845-500-6375
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    Fax                  |    845-709-8135
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Provider Business Mailing Address
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    Address Line         |    15 FORTUNE RD W 
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    City                 |    MIDDLETOWN
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    State                |    NY
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    Zip                  |    10941-1625
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    Country              |    US
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    Telephone            |    845-421-8544
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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       |    010983
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    License Number State |    NY
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