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GUADALUPE RODARTE

Mental Health >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1003248303

Individual Registrant:
 GUADALUPE  RODARTE 
Gender: F
Sole Proprietor

Location and contact information for practice:
400 W VISALIA RD SUITE B FARMERSVILLE, CA 93223-1868 US
Tel: 559-747-0115  Fax: 559-747-0295

Contact information for business:
PO BOX 5091  VISALIA, CA 93278-5091 US
Tel: --  Fax: --

Registration Information:
NPI: 1003248303
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
Mental Health
CAASW 37064

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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