Rodrigues, Mary Teresa
Rodrigues, Mary Teresa is an sole proprietor health care provider with primary practice located at 505 Camino De Los Marquez , Santa Fe NM 87505-1837. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Rodrigues, Mary Teresa can be contacted via phone (505) 490-1801.Contact Information
Primary practice address
505 Camino De Los Marquez
Santa Fe NM 87505-1837
Phone: (505) 490-1801
Fax: (505) 455-8876
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1106 LCPC | Montana |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 0120871 | New Mexico |
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 0163871 | New Mexico |
Profile Details
NPI number | 1114088291 |
---|---|
LBN Legal business name | Rodrigues, Mary Teresa |
Credentials | LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Dec 13th, 2006 |
Last updated | Jun 2nd, 2016 - about 8 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1114088291 | NPPES |
Montana | Other | 0000743550 | BLUE CROSS-SHIELD OF MONT |
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