Provider Demographics
NPI:1669081139
Name:RODRIGUEZ, TATIANA KATHERINE (LPC)
Entity type:Individual
Prefix:
First Name:TATIANA
Middle Name:KATHERINE
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:TATIANA
Other - Middle Name:KATHERINE
Other - Last Name:HERNANDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:2850 EISENHOWER AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22314-4567
Mailing Address - Country:US
Mailing Address - Phone:571-319-3577
Mailing Address - Fax:
Practice Address - Street 1:2850 EISENHOWER AVE STE 310
Practice Address - Street 2:
Practice Address - City:ALEXANDRIA
Practice Address - State:VA
Practice Address - Zip Code:22314-4567
Practice Address - Country:US
Practice Address - Phone:571-319-3577
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-30
Last Update Date:2025-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701009477101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health