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General NPI Number Information
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NPI Number | 1720840960
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Entity Type | Individual
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Provider Name | KATHERINE RODRIGUEZ LPC
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Gender | Female
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Dates
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Enumeration Date | 01/24/2024
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Last Update Date | 05/09/2025
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Provider Practice Location Address
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Address Line | PARCELAS NUEVAS CELADA CALLE 32 #374
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-603-2959
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Fax |
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Provider Business Mailing Address
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Address Line | PARCELAS NUEVAS CELADA CALLE 32 #374
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City | GURABO
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State | PR
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Zip | 00778
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Country | US
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Telephone | 787-603-2959
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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 | 4778
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 4778
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License Number State | PR
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