Rodriguez, Jariska K
Rodriguez, Jariska K is an sole proprietor health care provider with primary practice located at 514 W Oglethorpe Blvd , Albany GA 31701-2838. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Forensic is her primary health care specialty. Rodriguez, Jariska K can be contacted via phone (205) 304-1506.Contact Information
Primary practice address
514 W Oglethorpe Blvd
Albany GA 31701-2838
Phone: (205) 304-1506
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Forensic | 103TF0200X | ||
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | LPC008506 | Georgia |
Profile Details
| NPI number | 1831356864 |
|---|---|
| LBN Legal business name | Rodriguez, Jariska K |
| Credentials | PSY.D., LPC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2008 |
| Last updated | Nov 28th, 2022 - about 3 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 | 1831356864 | NPPES |
| Georgia | MEDICAID | 003172200A |
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