| Ana Rebeca Rodriguez, LPC | |
|
89 Hillside Dr, Holiday Island, AR 72631-4658 | |
| (479) 253-5767 | |
| (479) 253-5777 |
| Full Name | Ana Rebeca Rodriguez |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 89 Hillside Dr, Holiday Island, Arkansas |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1730806522 | NPI | - | NPPES |
| 291278795 | Medicaid | AR | |
| 344118719 | Medicaid | AR |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | A2208012 (Arkansas) | Secondary |
| 101YP2500X | Counselor - Professional | P2502011 (Arkansas) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ana Rebeca Rodriguez, LPC 2558 E Mission Blvd Ste 202, Fayetteville, AR 72703-5603 Ph: (479) 365-4802 | Ana Rebeca Rodriguez, LPC 89 Hillside Dr, Holiday Island, AR 72631-4658 Ph: (479) 253-5767 |
Gregory Michael Tancibok, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 23 Parkcliff Dr, Holiday Island, AR 72631 Phone: 479-363-6422 Fax: 479-363-6763 |