Provider Demographics
NPI:1508989906
Name:RODRIGUEZ, ADRIANA MELANY (LMFT)
Entity Type:Individual
Prefix:
First Name:ADRIANA
Middle Name:MELANY
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 1:3436 AMERICAN RIVER DR STE 6
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95864-5793
Mailing Address - Country:US
Mailing Address - Phone:916-952-9363
Mailing Address - Fax:
Practice Address - Street 1:3436 AMERICAN RIVER DR STE 6
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95864-5793
Practice Address - Country:US
Practice Address - Phone:916-952-9363
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-09
Last Update Date:2021-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA84474106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty