Individual
KIMBERLY DIANE RODGERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
206 W COLLEGE ST, DICKSON, TN 37055-1906
(615) 947-5240
Mailing address
206 W COLLEGE ST, DICKSON, TN 37055-1906
(615) 947-5240
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1737
TN
Other
Enumeration date
12/08/2006
Last updated
03/28/2012
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