Provider Demographics
NPI:1386896751
Name:RODRIGUES, SHAWN MISHELL (LPC)
Entity type:Individual
Prefix:MRS
First Name:SHAWN
Middle Name:MISHELL
Last Name:RODRIGUES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2885 N PRICE RD
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85224-1612
Mailing Address - Country:US
Mailing Address - Phone:602-750-2215
Mailing Address - Fax:480-240-1325
Practice Address - Street 1:2885 N PRICE RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-1612
Practice Address - Country:US
Practice Address - Phone:480-777-7679
Practice Address - Fax:480-240-1325
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-16
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ13098101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional