Provider Demographics
NPI:1467613604
Name:NARANJO-RODRIGUEZ, NATALIE M (MA LPC NCC)
Entity Type:Individual
Prefix:MRS
First Name:NATALIE
Middle Name:M
Last Name:NARANJO-RODRIGUEZ
Suffix:
Gender:F
Credentials:MA LPC NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 CAMINO VEGA VERDE
Mailing Address - Street 2:
Mailing Address - City:CORRALES
Mailing Address - State:NM
Mailing Address - Zip Code:87048-8529
Mailing Address - Country:US
Mailing Address - Phone:505-450-9526
Mailing Address - Fax:
Practice Address - Street 1:20 CAMINO VEGA VERDE
Practice Address - Street 2:
Practice Address - City:CORRALES
Practice Address - State:NM
Practice Address - Zip Code:87048
Practice Address - Country:US
Practice Address - Phone:505-260-9912
Practice Address - Fax:505-260-9934
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-20
Last Update Date:2008-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM0059101101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor