Provider Demographics
NPI:1952023921
Name:GARCIARODRIGUEZ, ALFREDO (BA)
Entity Type:Individual
Prefix:
First Name:ALFREDO
Middle Name:
Last Name:GARCIARODRIGUEZ
Suffix:
Gender:M
Credentials:BA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4201 CYPRESS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-9023
Mailing Address - Country:US
Mailing Address - Phone:908-340-8203
Mailing Address - Fax:
Practice Address - Street 1:4201 CYPRESS POINTE DR
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22901-9023
Practice Address - Country:US
Practice Address - Phone:908-340-8203
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-15
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health