Provider Demographics
NPI:1841944113
Name:RODRIGUEZ, SASHA (LPCC)
Entity type:Individual
Prefix:
First Name:SASHA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7596 W JEWELL AVE # 1-202
Mailing Address - Street 2:
Mailing Address - City:LAKEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80232-6889
Mailing Address - Country:US
Mailing Address - Phone:720-740-3019
Mailing Address - Fax:844-412-7875
Practice Address - Street 1:7596 W JEWELL AVE
Practice Address - Street 2:
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80232-6889
Practice Address - Country:US
Practice Address - Phone:720-740-3019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-02-07
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0018955101YM0800X
COLPC.0020937101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health