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NPI Code Detail

MEDICARE: DR. TAMARAH RODRIGUEZ MD, LMFT, LPC

MEDICARE: DR. TAMARAH RODRIGUEZ MD, LMFT, 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
1101YP2500XProfessional Counselor12183CO
2101YP2500XProfessional CounselorLPC.0012183CO
3106H00000XMarriage & Family TherapistMFT.0001587CO

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 : 1790037174
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TAMARAH RODRIGUEZ MD, LMFT, LPC
Provider Business Mailing Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 970-310-3406
Fax Number :
Provider Business Practice Location Address
First Line : 3401 QUEBEC ST STE 7600
Second Line :
City : DENVER
State : CO
Zip : 80207-2345
Country : US
Telephone Number : 970-310-3406
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2012
Last Update Date : 09/12/2024

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