Provider Demographics
NPI:1922742709
Name:RODRIGUEZ, VETA RHONDA (MS CHRISTIAN COUNSEL)
Entity Type:Individual
Prefix:MS
First Name:VETA
Middle Name:RHONDA
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:MS CHRISTIAN COUNSEL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1055 BUTTS MILL RD
Mailing Address - Street 2:
Mailing Address - City:PINE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:31822-9430
Mailing Address - Country:US
Mailing Address - Phone:706-523-5005
Mailing Address - Fax:
Practice Address - Street 1:1055 BUTTS MILL RD
Practice Address - Street 2:
Practice Address - City:PINE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:31822-9430
Practice Address - Country:US
Practice Address - Phone:706-523-5005
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-26
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor