Rodriguez, Kiefer Marlon

Rodriguez, Kiefer Marlon is an individual health care provider with primary practice located at 446A Blake St , New Haven CT 06515-4437. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is his primary health care specialty. Rodriguez, Kiefer Marlon can be contacted via phone (203) 387-9400.

Contact Information

Primary practice address
446A Blake St New Haven CT 06515-4437
Phone: (203) 387-9400
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 9902 Connecticut
Behavioral Health & Social Service Providers / Counselor 101Y00000X 9902 Connecticut

Profile Details

NPI number 1770326811
LBN Legal business name Rodriguez, Kiefer Marlon
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 17th, 2024
Last updated Jun 17th, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Popular Providers