Provider Demographics
NPI:1639063050
Name:GRIFFITH, RODNEY LYNN (AMFT)
Entity type:Individual
Prefix:
First Name:RODNEY
Middle Name:LYNN
Last Name:GRIFFITH
Suffix:
Gender:M
Credentials:AMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6725 KENORA ST
Mailing Address - Street 2:
Mailing Address - City:RIO LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:95673-3261
Mailing Address - Country:US
Mailing Address - Phone:916-289-1899
Mailing Address - Fax:
Practice Address - Street 1:8303 SIERRA COLLEGE BLVD STE 146
Practice Address - Street 2:
Practice Address - City:ROSEVILLE
Practice Address - State:CA
Practice Address - Zip Code:95661-9419
Practice Address - Country:US
Practice Address - Phone:916-289-1841
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-09
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145250101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional