Provider Demographics
NPI:1467673913
Name:RODRIGUEZ, ANOUSH PAPAZIAN (LPCC)
Entity type:Individual
Prefix:
First Name:ANOUSH
Middle Name:PAPAZIAN
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:ANOUSH
Other - Middle Name:GAIL
Other - Last Name:PAPAZIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, CRC
Mailing Address - Street 1:16261 TEXAS SPRINGS RD
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96001-4394
Mailing Address - Country:US
Mailing Address - Phone:510-305-7572
Mailing Address - Fax:
Practice Address - Street 1:2885 CHURN CREEK RD
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96002-1147
Practice Address - Country:US
Practice Address - Phone:530-221-1372
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2019-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALPCC1200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional