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NPI Code Detail

MEDICARE: LENAIDA RODRIGUEZ MS, LMFT, LCDC

MEDICARE: LENAIDA RODRIGUEZ MS, LMFT, LCDC
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
1101YA0400XAddiction (Substance Use Disorder) Counselor16101TX
2106H00000XMarriage & Family Therapist204078TX

General Provider Information

NPI Number : 1679395230
Entity Type Code : Individual
Provider Name (Legal Business Name) : LENAIDA RODRIGUEZ MS, LMFT, LCDC
Provider Business Mailing Address
First Line : 9614 KRIER VW
Second Line :
City : CONVERSE
State : TX
Zip : 78109-1958
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 14802 JONES MALTSBERGER RD STE 1101
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78247-3571
Country : US
Telephone Number : 210-490-4419
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/25/2024
Last Update Date : 10/25/2024

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