Individual provider · Type 1 NPI

Michelle Detiveaux Rodriguez

Counselor · San Antonio, TX

NPI number 1649044413 Active

Practice location

11315 Ivy Cadence
San Antonio, TX 78253-6260

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X86676 (TX)

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 1649044413

Michelle Detiveaux Rodriguez's National Provider Identifier is 1649044413, issued on Nov 13, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in San Antonio, TX. The record was last updated on Nov 13, 2023.