Provider Demographics
NPI:1447347273
Name:RODRIGUEZ, JANET ROSE II (MFT)
Entity type:Individual
Prefix:MS
First Name:JANET
Middle Name:ROSE
Last Name:RODRIGUEZ
Suffix:II
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3033 FIFTH AVE STE. 235
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103
Mailing Address - Country:US
Mailing Address - Phone:619-297-1750
Mailing Address - Fax:619-297-0470
Practice Address - Street 1:3033 FIFTH AVE STE. 235
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103
Practice Address - Country:US
Practice Address - Phone:619-297-1750
Practice Address - Fax:619-297-0470
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
104100000X
CALMFT87266106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker