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NPI Code Detail

MEDICARE: CECILIA RODRIGUEZ MFT

MEDICARE: CECILIA RODRIGUEZ MFT
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
1106H00000XMarriage & Family TherapistMFT31481CA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1679650774
Entity Type Code : Individual
Provider Name (Legal Business Name) : CECILIA RODRIGUEZ MFT
Provider Business Mailing Address
First Line : 1236 CHAPALA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3116
Country : US
Telephone Number : 805-965-2376
Fax Number :
Provider Business Practice Location Address
First Line : 1236 CHAPALA ST
Second Line :
City : SANTA BARBARA
State : CA
Zip : 93101-3116
Country : US
Telephone Number : 805-965-2376
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/01/2006
Last Update Date : 07/09/2007

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Directions to “ CECILIA RODRIGUEZ MFT” Practice Location

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