Rodriguez, Monica

Rodriguez, Monica is an individual health care provider with primary practice located at 405 East Forest Street Suite 119, Oconomowoc WI 53066. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Rodriguez, Monica can be contacted via phone (262) 490-3894.

Contact Information

Primary practice address
405 East Forest Street Suite 119 Oconomowoc WI 53066
Phone: (262) 490-3894
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 5807-125 Wisconsin

Profile Details

NPI number 1962890475
LBN Legal business name Rodriguez, Monica
Credentials LPC, MAC, MA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2015
Last updated Feb 20th, 2017 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1962890475 NPPES
Wisconsin MEDICAID 100048954

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