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:
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Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114088291 NPPES
Montana Other 0000743550 BLUE CROSS-SHIELD OF MONT

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