Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor |
NPI | 1003373036 |
---|---|
Provider Name | Natalie Janette Rodriguez |
First Address | Atascadero, CA 93422-4123 |
Second Address | Atascadero, CA 93422-4123 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/02/2019 |
Last Update Date | 26/02/2019 |