Provider Demographics
NPI:1083768956
Name:RODHEIM, BRETT GENE (LMFT)
Entity Type:Individual
Prefix:
First Name:BRETT
Middle Name:GENE
Last Name:RODHEIM
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MERCED COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES
Mailing Address - Street 2:301 EAST 13TH ST.
Mailing Address - City:MERCED
Mailing Address - State:CA
Mailing Address - Zip Code:95341
Mailing Address - Country:US
Mailing Address - Phone:209-869-1843
Mailing Address - Fax:
Practice Address - Street 1:MERCED COUNTY BEHAVIORAL HEALTH AND RECOVERY SERVICES
Practice Address - Street 2:301 EAST 13TH ST.
Practice Address - City:MERCED
Practice Address - State:CA
Practice Address - Zip Code:95341
Practice Address - Country:US
Practice Address - Phone:209-869-1843
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2019-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF52004101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor