person
Mrs. Dana Marie Rodriguez, LPC
Professional Counselor in Fort Worth, Texas
NPI 1265629679

Dana Marie Rodriguez is a Professional Counselor based in Fort Worth, TX and is specialized in Professional. Dana Marie Rodriguez practices in Fort Worth, TX and has the professional credentials of LPC. The NPI Number for Dana Marie Rodriguez is 1265629679 and holds a License No. 15212 (Texas).

The current practice location address for Dana Marie Rodriguez is 249 W Thornhill Dr, Fort Worth, TX and can be reached out via phone at 817-534-0814 and via fax at 817-575-8779.

Location: 249 W Thornhill Dr, Fort Worth, TX, 76115-2621
person
Provider Profile Details
NPI Number
1265629679
Provider Name
Dana Marie Rodriguez
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
249 W Thornhill Dr, Fort Worth, TX, 76115-2621
Phone Number
817-534-0814
Fax Number
817-575-8779
Provider Enumeration Date
09/29/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
029016503 05 TX
89911L 01 TX BLUE CROSS BLUE SHIELD
029016504 01 TX MEDICAID CSHCN
institution
Provider Business Practice Location Address Details
Address
249 W Thornhill Dr
City
State
Zip
76115-2621
Phone Number
817-534-0814
Fax Number
817-575-8779
person
Provider Business Mailing Address Details
Address
249 W Thornhill Dr
City
State
Zip
76115-2621
Phone Number
817-534-0814
Fax Number
817-575-8779
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
15212 (Texas)
Definition
Definition to come...
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