Provider Demographics
NPI:1740293133
Name:RHOADES, ALNEY B (MFT)
Entity type:Individual
Prefix:MR
First Name:ALNEY
Middle Name:B
Last Name:RHOADES
Suffix:
Gender:M
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7822 WINDSOR LN
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95610-7616
Mailing Address - Country:US
Mailing Address - Phone:916-961-4360
Mailing Address - Fax:
Practice Address - Street 1:5750 SAN JUAN AVE
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95610-7455
Practice Address - Country:US
Practice Address - Phone:916-961-4360
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16133101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health