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NPI Code Detail

MEDICARE: ANA MARIA RODRIGUEZ

MEDICARE:   ANA MARIA RODRIGUEZ
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1659813376
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANA MARIA RODRIGUEZ
Provider Business Mailing Address
First Line : 12824 WILLOWGROVE LN
Second Line :
City : MANOR
State : TX
Zip : 78653-2589
Country : US
Telephone Number : 443-949-6797
Fax Number :
Provider Business Practice Location Address
First Line : 1621 W 6TH ST # A
Second Line :
City : AUSTIN
State : TX
Zip : 78703-5059
Country : US
Telephone Number : 512-222-6960
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/11/2016
Last Update Date : 10/16/2024

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Directions to “ ANA MARIA RODRIGUEZ ” Practice Location

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