Individual provider · Type 1 NPI
Juan M. Rodriguez, LPC
Professional Counselor · Fort Johnson, LA
NPI number
1629534920
Active
Practice location
1585 3rd St
Fort Johnson, LA 71459-5102
Mailing address
1585 3rd St Bldg 285
Fort Polk, LA 71459-5102
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor | 101YP2500X | 77726 (TX) |
| Professional Counselor Primary | 101YP2500X | 8059 (LA) |
Professional Counselor: Definition to come...
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About NPI 1629534920
Juan M. Rodriguez, LPC's National Provider Identifier is 1629534920, issued on Feb 12, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Fort Johnson, LA. The record was last updated on Jul 17, 2024.