Individual provider · Type 1 NPI

Tyr Voltaire Rodriguez, B.A.

Mental Health Counselor · San Jose, CA

NPI number 1487727467 Active

Practice location

232 E Gish Rd
San Jose, CA 95112-4706

Mailing address

3597 S Bascom Ave, #40
Campbell, CA 95008-7306

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1487727467

Tyr Voltaire Rodriguez, B.A.'s National Provider Identifier is 1487727467, issued on Nov 16, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in San Jose, CA. The record was last updated on Jul 8, 2007.