Individual provider · Type 1 NPI

Marissa Rodriguez

Mental Health Counselor · Kennesaw, GA

NPI number 1760139398 Active

Practice location

1619 Collins Rd NW
Kennesaw, GA 30152-4309

Call (470) 531-0430 Map

Mailing address

300 International Pkwy Ste 200
Lake Mary, FL 32746-5028

Specialties and licenses

TaxonomyCodeLicense
Behavior Technician 106S00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1760139398

Marissa Rodriguez's National Provider Identifier is 1760139398, issued on Mar 3, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Kennesaw, GA. The record was last updated on Jun 23, 2026.