Individual
KIMBERLY RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
244 FILMORE ST, RIVERSIDE, NJ 08075-3222
(856) 209-4765
(856) 209-4765
Mailing address
244 FILMORE ST, RIVERSIDE, NJ 08075-3222
(856) 209-4765
(856) 209-4765
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00356200
NJ
Other
Enumeration date
12/11/2025
Last updated
12/11/2025
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