Provider Demographics
NPI:1033637418
Name:RODRIQUEZ, ASIA C (LPC)
Entity Type:Individual
Prefix:
First Name:ASIA
Middle Name:C
Last Name:RODRIQUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8730 GEORGIA AVE STE 200A
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20910-3651
Mailing Address - Country:US
Mailing Address - Phone:202-753-5085
Mailing Address - Fax:202-558-0612
Practice Address - Street 1:8730 GEORGIA AVE STE 200A
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20910-3651
Practice Address - Country:US
Practice Address - Phone:202-753-5085
Practice Address - Fax:202-558-0612
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-06
Last Update Date:2023-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCPRC15172101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional