Individual provider · Type 1 NPI

Kellyanne Rodriguez

Counselor · Phila, PA

NPI number 1275442204 Active

Practice location

3300 Henry Ave
Phila, PA 19129-1141

Call (215) 254-2026 Map

Mailing address

111 Elwyn Rd
Media, PA 19063-4622

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1275442204

Kellyanne Rodriguez's National Provider Identifier is 1275442204, issued on Sep 4, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phila, PA. The record was last updated on Sep 4, 2026.