Individual provider · Type 1 NPI

Russell G. Hendricks

Addiction (Substance Use Disorder) Counselor · Somerset, KY

NPI number 1669079059 Active

Practice location

259 Parkers Mill Rd
Somerset, KY 42501-3152

Call (606) 679-4782 Map

Fax (606) 679-4097

Mailing address

130 Southern School Rd
Somerset, KY 42501-3223

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1669079059

Russell G. Hendricks's National Provider Identifier is 1669079059, issued on Oct 8, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Somerset, KY. The record was last updated on Oct 8, 2020.