Provider Demographics
NPI:1275851396
Name:RODARTE, ANTONIA (LMFT)
Entity type:Individual
Prefix:MS
First Name:ANTONIA
Middle Name:
Last Name:RODARTE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:ANTONIA
Other - Middle Name:
Other - Last Name:MEJIA ORTIZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4900 CALIFORNIA AVENUE
Mailing Address - Street 2:TOWER A, SUITE #200
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309
Mailing Address - Country:US
Mailing Address - Phone:661-852-2719
Mailing Address - Fax:
Practice Address - Street 1:4900 CALFORNIA AVENUE
Practice Address - Street 2:TOWER A, SUITE #200
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309
Practice Address - Country:US
Practice Address - Phone:661-852-2719
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-13
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA108447106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist