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Ms. Samantha Rodriguez
Mental Health Counselor in Tumwater, Washington
NPI 1447802244

Samantha Rodriguez is a Mental Health Counselor based in Tumwater, WA and is specialized in Mental Health. Samantha Rodriguez practices in Tumwater, WA. The NPI Number for Samantha Rodriguez is 1447802244 and holds a License No. CG60698862 (Washington).

The current practice location address for Samantha Rodriguez is 3285 Ferguson Street Sw, Tumwater, WA and can be reached out via phone at 360-943-1907.

Location: 3285 Ferguson Street Sw, Tumwater, WA, 98511-4339
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1447802244
Provider Name
Samantha Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
3285 Ferguson Street Sw, Tumwater, WA, 98511-4339
Phone Number
360-943-1907
Fax Number
Provider Enumeration Date
07/11/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CG60698862 05 WA
institution
Provider Business Practice Location Address Details
Address
3285 Ferguson Street Sw
City
Tumwater
State
Washington
Zip
98503
Phone Number
360-943-1907
Fax Number
person
Provider Business Mailing Address Details
Address
3285 Ferguson Street Sw
City
Tumwater
State
Washington
Zip
98503
Phone Number
360-943-1907
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG60698862 (Washington)
Definition
Definition to come...
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