person
Mildred Ilene Rodriguez, LAC
Professional Counselor in Summit, New Jersey
NPI 1700645033

Mildred Ilene Rodriguez is a Professional Counselor based in Summit, NJ and is specialized in Professional. Mildred Ilene Rodriguez practices in Summit, NJ and has the professional credentials of LAC. The NPI Number for Mildred Ilene Rodriguez is 1700645033 and holds a License No. 37AC00503700 (New Jersey).

The current practice location address for Mildred Ilene Rodriguez is 37 Maple St, Summit, NJ and can be reached out via phone at 732-674-9857.

Location: 37 Maple St, Summit, NJ, 07901-2529
person
Provider Profile Details
NPI Number
1700645033
Provider Name
Mildred Ilene Rodriguez
Credential
LAC
Provider Entity Type
Individual
Gender
Female
Address
37 Maple St, Summit, NJ, 07901-2529
Phone Number
732-674-9857
Fax Number
Provider Enumeration Date
03/18/2024
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
37 Maple St
City
State
Zip
07901-2529
Phone Number
732-674-9857
Fax Number
person
Provider Business Mailing Address Details
Address
37 Maple St
City
State
Zip
07901-2529
Phone Number
732-674-9857
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
37AC00503700 (New Jersey)
Definition
Definition to come...
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