Provider Demographics
NPI:1972940484
Name:RODRIGUEZ, ERIN DAWN (LCPC, LAC, MAC)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:DAWN
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LCPC, LAC, MAC
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:DAWN
Other - Last Name:UNRUH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BS, LAC
Mailing Address - Street 1:1629 AVENUE D STE B1
Mailing Address - Street 2:
Mailing Address - City:BILLINGS
Mailing Address - State:MT
Mailing Address - Zip Code:59102-3042
Mailing Address - Country:US
Mailing Address - Phone:406-208-3474
Mailing Address - Fax:
Practice Address - Street 1:1629 AVENUE D STE B1
Practice Address - Street 2:
Practice Address - City:BILLINGS
Practice Address - State:MT
Practice Address - Zip Code:59102-3042
Practice Address - Country:US
Practice Address - Phone:406-208-3474
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-24
Last Update Date:2019-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MT1284101YA0400X
MT38652101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)