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Lacey Rae Rodriguez
Mental Health Counselor in Coachella, California
NPI 1871372540

Lacey Rae Rodriguez is a Mental Health Counselor based in Coachella, CA and is specialized in Mental Health. Lacey Rae Rodriguez practices in Coachella, CA. The NPI Number for Lacey Rae Rodriguez is 1871372540 and holds a License No. 14201 (California).

The current practice location address for Lacey Rae Rodriguez is 49869 Calhoun St Ste 204&205, Coachella, CA and can be reached out via phone at 760-272-7182.

Location: 49869 Calhoun St Ste 204&205, Coachella, CA, 92236-9720
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871372540
Provider Name
Lacey Rae Rodriguez
Credential
Provider Entity Type
Individual
Gender
Female
Address
49869 Calhoun St Ste 204&205, Coachella, CA, 92236-9720
Phone Number
760-272-7182
Fax Number
Provider Enumeration Date
09/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
49869 Calhoun St Ste 204&205
City
Coachella
State
California
Zip
92236-9720
Phone Number
760-272-7182
Fax Number
person
Provider Business Mailing Address Details
Address
49869 Calhoun St Ste 204&205
City
Coachella
State
California
Zip
92236-9720
Phone Number
760-272-7182
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
14201 (California)
Definition
Definition to come...
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