Rodriguez, Patricia Dolores

Rodriguez, Patricia Dolores is an sole proprietor health care provider with primary practice located at 1920 7Th St , Las Vegas NM 87701-4956. She recently has 9 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Psychologist, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Clinical Child & Adolescent, Behavioral Health & Social Service Providers / Group Psychotherapy, Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rodriguez, Patricia Dolores can be contacted via phone (505) 429-3980.

Contact Information

Primary practice address

1920 7Th St Las Vegas NM 87701-4956

Phone: (505) 429-3980

Fax:

Website:

Map and Directions

Health care specialties

Specialty	Code	License #	State
Behavioral Health & Social Service Providers / Mental Health	101YM0800X	CCMH0134511	New Mexico
Behavioral Health & Social Service Providers / Mental Health	101YM0800X	0091511	New Mexico
Behavioral Health & Social Service Providers / School	101YS0200X	316734	New Mexico
Behavioral Health & Social Service Providers / Psychologist	103T00000X	316734	New Mexico
Behavioral Health & Social Service Providers / Clinical	103TC0700X	CCMH0134511	New Mexico
Behavioral Health & Social Service Providers / Counseling	103TC1900X	316734	New Mexico
Behavioral Health & Social Service Providers / Clinical Child & Adolescent	103TC2200X	316734	New Mexico
Behavioral Health & Social Service Providers / Group Psychotherapy	103TP2701X	316734	New Mexico
Behavioral Health & Social Service Providers / Rehabilitation	103TR0400X	316734	New Mexico
Behavioral Health & Social Service Providers / School	103TS0200X	316734	New Mexico
Behavioral Health & Social Service Providers / Professional	101YP2500X	CCMH0134511	New Mexico

Profile Details

NPI number	1699912055
LBN Legal business name	Rodriguez, Patricia Dolores
Credentials	LPCC
Entity	Individual
Sole proprietor ¹	Yes
Enumeration date	Jan 7th, 2009
Last updated	Jun 15th, 2021 - about 5 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

State	Type	Number	Issuer
All States	NPI	1699912055	NPPES
New Mexico	MEDICAID	90524071

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