Provider Demographics
NPI:1154724946
Name:ROJAS, NELDA RODRIGUEZ
Entity type:Individual
Prefix:
First Name:NELDA
Middle Name:RODRIGUEZ
Last Name:ROJAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:NELDA
Other - Middle Name:ROSA
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:1100 NW LOOP 410 # 137
Mailing Address - Street 2:SUITE #700
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78213-2263
Mailing Address - Country:US
Mailing Address - Phone:956-744-9886
Mailing Address - Fax:
Practice Address - Street 1:1100 NW LOOP 410 # 137
Practice Address - Street 2:SUITE #700
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78213-2263
Practice Address - Country:US
Practice Address - Phone:956-744-9886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-07
Last Update Date:2014-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX65877101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional