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Mrs. Diana Jane Roderick, LPC
Counselor in College Station, Texas
NPI 1215978820

Diana Jane Roderick is a Counselor based in College Station, TX. Diana Jane Roderick practices in College Station, TX and has the professional credentials of LPC. The NPI Number for Diana Jane Roderick is 1215978820 and holds a License No. 16128 (Texas).

The current practice location address for Diana Jane Roderick is 1701 Southwest Pkwy, College Station, TX and can be reached out via phone at 979-764-8127.

Location: 1701 Southwest Pkwy, College Station, TX, 77842-2019
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215978820
Provider Name
Diana Jane Roderick
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
1701 Southwest Pkwy, College Station, TX, 77842-2019
Phone Number
979-764-8127
Fax Number
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
1701 Southwest Pkwy
City
College Station
State
Texas
Zip
77840-6911
Phone Number
979-764-8127
Fax Number
person
Provider Business Mailing Address Details
Address
1701 Southwest Pkwy
City
College Station
State
Texas
Zip
77840-6911
Phone Number
979-764-8127
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
16128 (Texas)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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