Individual provider · Type 1 NPI

Kimberly Rodriguez

Peer Specialist · Indio, CA

NPI number 1639062573 Active

Practice location

44199 Monroe St
Indio, CA 92201-3096

Mailing address

2275 E Cooley Dr
Colton, CA 92324-6324

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X21392 (CA)
Peer Specialist Primary 175T00000XNone listed
Rehabilitation Practitioner 225400000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1639062573

Kimberly Rodriguez's National Provider Identifier is 1639062573, issued on May 30, 2025. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Indio, CA. The record was last updated on Jul 28, 2026.