| NPI | 1770168254 |
|---|---|
| Doing Business As | IC2 THERAPY, PLLC. |
| Entity Type | Organization |
| Authorized Contact | CHRISTINA I RODRIGUEZ Psychotherapist 520-276-0062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2021-03-16 |