Provider Demographics
NPI:1023685898
Name:RODRIGUEZ, CHRISTY HERNANDEZ (LPC)
Entity type:Individual
Prefix:MS
First Name:CHRISTY
Middle Name:HERNANDEZ
Last Name:RODRIGUEZ
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:106 KENSINGTON DR
Mailing Address - Street 2:
Mailing Address - City:VICTORIA
Mailing Address - State:TX
Mailing Address - Zip Code:77901-4564
Mailing Address - Country:US
Mailing Address - Phone:361-489-2779
Mailing Address - Fax:
Practice Address - Street 1:106 KENSINGTON DR
Practice Address - Street 2:
Practice Address - City:VICTORIA
Practice Address - State:TX
Practice Address - Zip Code:77901-4564
Practice Address - Country:US
Practice Address - Phone:361-489-2779
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-09
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
81094101Y00000X
TX81094101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor