Individual ProviderMarina Joan RodriguezCounselorBehavioral Health & Social Service ProvidersPractice Address870 N Mountain Ave Ste 206, Upland, CA 91786-4173(909) 266-2700PECOS EnrollmentBased on the most recent information from CMS, provider Marina Joan Rodriguez does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1124775481Provider TypeIndividualFull NameRodriguez, Marina JoanGenderFemaleSole ProprietorNoEnumeration Date3/7/2022Last Updated3/7/2022Contact InformationPractice LocationPractice Address870 N Mountain Ave Ste 206, Upland, CA 91786-4173Phone(909) 266-2700FaxUnlisted FaxMailing LocationMailing Address870 N Mountain Ave Ste 206, Upland, CA 91786-4173Phone(909) 266-2700FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode101YM0800XPrimaryDescriptionCounselorBehavioral Health & Social Service ProvidersLicenseAPCC8844California