Provider Demographics
NPI:1326816331
Name:RODRIGUEZ CARBAJAL, MARCELA N/A
Entity Type:Individual
Prefix:
First Name:MARCELA
Middle Name:N/A
Last Name:RODRIGUEZ CARBAJAL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:MARCELA
Other - Middle Name:MARIA
Other - Last Name:RODRIGUEZ CARBAJAL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9896 W FREIBURG DR UNIT 1-H
Mailing Address - Street 2:
Mailing Address - City:LITTLETON
Mailing Address - State:CO
Mailing Address - Zip Code:80127-5954
Mailing Address - Country:US
Mailing Address - Phone:651-350-9550
Mailing Address - Fax:
Practice Address - Street 1:9896 W FREIBURG DR UNIT 1-H
Practice Address - Street 2:
Practice Address - City:LITTLETON
Practice Address - State:CO
Practice Address - Zip Code:80127-5954
Practice Address - Country:US
Practice Address - Phone:651-350-9550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-19
Last Update Date:2023-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health