Crystal Rodrigues, is a
Counselor - Mental Health based in Clearlake, California. Crystal Rodrigues is licensed to practice in California (license number 91708) and her current practice location is
7000b S Center Dr, Clearlake, California. She can be reached at her office (for appointments etc.) via phone at
(707) 994-7090.
NPI number for Crystal Rodrigues is 1124436522 and her current mailing address is 6302 13th Ave, Lucerne, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1124436522.
Healthcare Provider's Profile
Full Name | Crystal Rodrigues |
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Gender | Female |
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Speciality | Counselor - Mental Health |
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Location | 7000b S Center Dr, Clearlake, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1124436522
- Provider Enumeration Date: 07/29/2014
- Last Update Date: 09/16/2019
Medical Identifiers
Medical identifiers for Crystal Rodrigues such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1124436522 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 91708 (California) | Secondary |
171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | 91708 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Crystal Rodrigues is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Crystal Rodrigues, 6302 13th Ave, Lucerne, CA 95458 Ph: (707) 994-7090 | Crystal Rodrigues, 7000b S Center Dr, Clearlake, CA 95422-8131 Ph: (707) 994-7090 |
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