Provider Demographics
NPI:1821868274
Name:ASCHITTINO-RODRIGUEZ, ALEJANDRA (LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:ASCHITTINO-RODRIGUEZ
Suffix:
Gender:F
Credentials:LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:670 WATSON AVE
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55102-3910
Mailing Address - Country:US
Mailing Address - Phone:914-654-5561
Mailing Address - Fax:
Practice Address - Street 1:670 WATSON AVE
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55102-3910
Practice Address - Country:US
Practice Address - Phone:914-654-5561
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC0903101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional