NPI 1194292417

Nitza Ivette Rodriguez, LMFT

Practitioner Counselor Penfield, NY

Practice location

Address: 21 Willow Pond Way, Penfield, NY 14526-2687
Phone: (585) 385-6030
Mailing address: 21 Willow Pond Way STE 103, Penfield, NY 14526-2687

Registered specialties

Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101Y00000X Licence 000881 (NY)

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Registry record

NPI: 1194292417
Entity type: Individual
Sex (as registered): Female
NPI issued: 24 Oct 2018
Record last updated: 24 Oct 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.