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NPI Code Detail

MEDICARE: MS. AMPARO RODRIGUEZ LPC

MEDICARE:  MS. AMPARO  RODRIGUEZ  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
1103TC1900XCounseling Psychologist0012835CO

General Provider Information

NPI Number : 1447617170
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. AMPARO RODRIGUEZ LPC
Provider Business Mailing Address
First Line : 2385 VANTAGE DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80919-3817
Country : US
Telephone Number : 719-271-6702
Fax Number :
Provider Business Practice Location Address
First Line : 1322 N ACADEMY BLVD
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80909-3317
Country : US
Telephone Number : 719-716-7022
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/26/2016
Last Update Date : 10/24/2018

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Directions to “ MS. AMPARO RODRIGUEZ LPC” Practice Location

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