Most Relevant Information
Provider Data
| NPI Number: | 1003496043 |
| Provider Name: | EBERARDO RODRIGUEZ AMFT |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: | AMFT123540 |
Most Important Dates
| Enumeration Date: | 04/13/2021 |
| Last Updated: | 04/13/2021 |
Provider Practice Location
850 E WARDLOW RD
LONG BEACH
CA
908074628
Practice Location Phone/Fax
| Phone: | 5629819392 |
| Fax: |
Provider Mailing Location
PO BOX 9690
GLENDALE
CA
912260690
Provider Mailing Phone/Fax
| Phone: | 5628520956 |
| Fax: |