Provider Demographics
NPI:1649410614
Name:RODRIGUEZ, CINDY DANIELA (LPC)
Entity Type:Individual
Prefix:MISS
First Name:CINDY
Middle Name:DANIELA
Last Name:RODRIGUEZ
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 1:2737 NW 140TH ST APT 223
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73134-6165
Mailing Address - Country:US
Mailing Address - Phone:405-568-9912
Mailing Address - Fax:
Practice Address - Street 1:1733 W 33RD ST STE 120
Practice Address - Street 2:
Practice Address - City:EDMOND
Practice Address - State:OK
Practice Address - Zip Code:73013-3866
Practice Address - Country:US
Practice Address - Phone:405-568-9912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-03
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK7298OtherSTATE OF OKLAHOMA LPC LICENSE