Provider Demographics
NPI:1912885278
Name:RODRIGUEZ, XOCHITL (MS PPS)
Entity type:Individual
Prefix:
First Name:XOCHITL
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS PPS
Other - Prefix:
Other - First Name:XOCHITL
Other - Middle Name:
Other - Last Name:VILLASENOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS PPS
Mailing Address - Street 1:1145 W CEDAR ST
Mailing Address - Street 2:
Mailing Address - City:WILLOWS
Mailing Address - State:CA
Mailing Address - Zip Code:95988-3399
Mailing Address - Country:US
Mailing Address - Phone:530-934-6633
Mailing Address - Fax:
Practice Address - Street 1:1145 W CEDAR ST
Practice Address - Street 2:
Practice Address - City:WILLOWS
Practice Address - State:CA
Practice Address - Zip Code:95988-3399
Practice Address - Country:US
Practice Address - Phone:530-934-6633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-08-25
Last Update Date:2025-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Single Specialty