Provider Demographics
NPI:1194891754
Name:RODRIGUEZ, EFRAIN (LPC)
Entity type:Individual
Prefix:
First Name:EFRAIN
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 325
Mailing Address - Street 2:
Mailing Address - City:ARGYLE
Mailing Address - State:TX
Mailing Address - Zip Code:76226-0325
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:101 N ELM ST
Practice Address - Street 2:STE 203
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4105
Practice Address - Country:US
Practice Address - Phone:817-320-3219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX15886101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional