Provider Demographics
NPI:1225449663
Name:RODRIGUEZ, VERONICA (LMFT)
Entity Type:Individual
Prefix:MISS
First Name:VERONICA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 WILLOWBROOK RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CROMWELL
Mailing Address - State:CT
Mailing Address - Zip Code:06416-1745
Mailing Address - Country:US
Mailing Address - Phone:203-507-9025
Mailing Address - Fax:860-740-6132
Practice Address - Street 1:1 WILLOWBROOK RD STE 6
Practice Address - Street 2:
Practice Address - City:CROMWELL
Practice Address - State:CT
Practice Address - Zip Code:06416
Practice Address - Country:US
Practice Address - Phone:203-507-9025
Practice Address - Fax:860-740-6132
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-19
Last Update Date:2018-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist