Provider Demographics
NPI:1669122933
Name:RODRIGUEZ, VANESSA (CRC, ICVE, CVE, CDMS)
Entity type:Individual
Prefix:
First Name:VANESSA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:CRC, ICVE, CVE, CDMS
Other - Prefix:MRS
Other - First Name:VANESSA
Other - Middle Name:
Other - Last Name:RODRIGUEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CRC ICVE, CVE, CDMS
Mailing Address - Street 1:602 CENTER AVE
Mailing Address - Street 2:
Mailing Address - City:BRANDON
Mailing Address - State:FL
Mailing Address - Zip Code:33511-7752
Mailing Address - Country:US
Mailing Address - Phone:813-842-5635
Mailing Address - Fax:883-390-1773
Practice Address - Street 1:602 CENTER AVE
Practice Address - Street 2:
Practice Address - City:BRANDON
Practice Address - State:FL
Practice Address - Zip Code:33511-7752
Practice Address - Country:US
Practice Address - Phone:813-842-5635
Practice Address - Fax:833-906-1773
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation Counselor