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NPI Code Detail

MEDICARE: JOHN JAYSON RODRIGUEZ LPC

MEDICARE: JOHN JAYSON RODRIGUEZ 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 CounselorAPC004262GA

General Provider Information

NPI Number : 1851786891
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOHN JAYSON RODRIGUEZ LPC
Provider Business Mailing Address
First Line : 690 COURTENAY DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-3421
Country : US
Telephone Number : 404-875-4551
Fax Number : 404-892-2201
Provider Business Practice Location Address
First Line : 690 COURTENAY DR NE
Second Line :
City : ATLANTA
State : GA
Zip : 30306-3421
Country : US
Telephone Number : 404-875-4551
Fax Number : 404-892-2201
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/06/2015
Last Update Date : 08/05/2025

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Directions to “ JOHN JAYSON RODRIGUEZ LPC” Practice Location

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