Provider Demographics
NPI:1194976993
Name:RODRIGUEZ, MARGARET (LPC, NCC, CDVC, CSGC)
Entity type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPC, NCC, CDVC, CSGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5210 E. PIMA
Mailing Address - Street 2:SUITE #110 POTENTIAL UNLIMITED
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712
Mailing Address - Country:US
Mailing Address - Phone:520-323-5599
Mailing Address - Fax:520-647-3841
Practice Address - Street 1:5210 E PIMA ST
Practice Address - Street 2:SUITE #110
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-3664
Practice Address - Country:US
Practice Address - Phone:520-323-5599
Practice Address - Fax:520-647-3841
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-10
Last Update Date:2008-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZCC-2289101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional