Individual
KIMBERLY RODERICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CT
Contact information
Practice address
406 ARCH ST, CHILLICOTHE, OH 45601-1520
(740) 466-9924
Mailing address
419 GOLFVIEW DR, CHILLICOTHE, OH 45601-8398
(740) 466-9924
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.2103523-TRNE
OH
Other
Enumeration date
05/11/2022
Last updated
05/11/2022
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