Individual
KIMBERLY RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2335 COUNTRY HILLS DR, ANTIOCH, CA 94509-7319
(925) 608-8700
(925) 608-8715
Mailing address
5063 HEACOCK WAY, ANTIOCH, CA 94531-7490
(925) 565-6688
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
172V00000X
Community Health Worker
—
—
175T00000X
Peer Specialist
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
Other
Enumeration date
04/18/2017
Last updated
08/06/2025
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