Doctor Name: | KIMBERLEY BERNADETTE RODRIGUEZ |
NPI Number: | 1013214311 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMFT, CAP |
License Number: | 4774 |
Business Practice Address: | 1540 Meridian Ave Apt 4c Miami Beach, FL - 331393490 |
Business Phone Number: | 3054904681 |
Business Fax Number: | |
Mailing Address: | 1540 Meridian Ave Apt 4c, MIAMI BEACH |
State: | FL |
Postal Code: | 331393490 |
Phone Number: | 3054904681 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2011 |
NPI Last Update Date: | 02/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 4774 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |