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NPI Code Detail

MEDICARE: MARIA TERESA RODRIGUEZ CORTES MA, MS

MEDICARE: MARIA TERESA RODRIGUEZ CORTES MA, MS
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 Counselor7601CA
2106H00000XMarriage & Family Therapist118083CA
3171M00000XCase Manager/Care Coordinator
4106H00000XMarriage & Family Therapist150941CA

General Provider Information

NPI Number : 1811342132
Entity Type Code : Individual
Provider Name (Legal Business Name) : MARIA TERESA RODRIGUEZ CORTES MA, MS
Provider Business Mailing Address
First Line : 1420 S MILLIKEN AVE STE 508
Second Line :
City : ONTARIO
State : CA
Zip : 91761-2337
Country : US
Telephone Number : 909-983-2020
Fax Number :
Provider Business Practice Location Address
First Line : 1420 S MILLIKEN AVE STE 508
Second Line :
City : ONTARIO
State : CA
Zip : 91761-2337
Country : US
Telephone Number : 909-983-2020
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/25/2016
Last Update Date : 06/04/2025

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