Individual provider · Type 1 NPI

Laly Jannette Rodriguez

Mental Health Counselor · Columbia, SC

NPI number 1457652786 Active

Practice location

2805 Millwood Ave, Thriveworks Counseling And Life Coaching
Columbia, SC 29205-1298

Mailing address

421 Alderston Way
Columbia, SC 29229-9531

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X6428 (SC)
Mental Health Counselor 101YM0800X10595 (NC)
Addiction (Substance Use Disorder) Counselor 101YA0400X507780 (NC)

Mental Health Counselor: Definition to come...

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About NPI 1457652786

Laly Jannette Rodriguez's National Provider Identifier is 1457652786, issued on Nov 3, 2010. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Columbia, SC. The record was last updated on Feb 23, 2017.