Provider Demographics
NPI:1952171472
Name:RODRIGUEZ, VALERIA (PLMFT)
Entity Type:Individual
Prefix:
First Name:VALERIA
Middle Name:
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:PLMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4230 IROQUOIS ST APT 109
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70126-4641
Mailing Address - Country:US
Mailing Address - Phone:504-617-3924
Mailing Address - Fax:
Practice Address - Street 1:400 POYDRAS ST STE 1950
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-3341
Practice Address - Country:US
Practice Address - Phone:504-322-3837
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-05
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAPLM1529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health