Individual
KIMBERLY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
44199 MONROE ST, INDIO, CA 92201-3096
(951) 715-5040
Mailing address
2275 E COOLEY DR, COLTON, CA 92324-6324
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
21392
CA
175T00000X
Peer Specialist
Primary
—
CA
225400000X
Rehabilitation Practitioner
—
CA
Other
Enumeration date
05/30/2025
Last updated
07/28/2026
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