Individual
KIMBERLY RODWAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4949 COOLIDGE HWY, ROYAL OAK, MI 48073-1026
(248) 655-5900
Mailing address
26901 BEAUMONT BLVD STE 3D, SOUTHFIELD, MI 48033-3849
(947) 522-1860
(947) 522-0307
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6401015556
MI
101YM0800X
Mental Health Counselor
6401015556
MI
101YP2500X
Professional Counselor
6401015556
MI
Other
Enumeration date
09/05/2016
Last updated
03/04/2021
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