Provider Demographics
NPI:1962201400
Name:RODRIGUEZ, ELIZABETH L
Entity type:Individual
Prefix:MRS
First Name:ELIZABETH
Middle Name:L
Last Name:RODRIGUEZ
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1910 SW 341ST PL
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98023-8011
Mailing Address - Country:US
Mailing Address - Phone:253-230-9702
Mailing Address - Fax:253-517-3272
Practice Address - Street 1:1910 SW 341ST PL
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-8011
Practice Address - Country:US
Practice Address - Phone:253-230-9702
Practice Address - Fax:253-517-3272
Is Sole Proprietor?:Yes
Enumeration Date:2025-03-10
Last Update Date:2025-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor