Individual provider · Type 1 NPI

Mildred Ilene Rodriguez, LAC

Professional Counselor · Summit, NJ

NPI number 1700645033 Active

Practice location

37 Maple St
Summit, NJ 07901-2529

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X37AC00503700 (NJ)

Professional Counselor: Definition to come...

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About NPI 1700645033

Mildred Ilene Rodriguez, LAC's National Provider Identifier is 1700645033, issued on Mar 18, 2024. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Summit, NJ. The record was last updated on Mar 18, 2024.