RUSSELL G HENDRICKS

SOMERSET, KY
NPI1669079059
Other NameRUSTY G HENDRICKS
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
Enumeration Date2020-10-08
Last Update Date2020-10-08
Business Address
RUSSELL G HENDRICKS
259 PARKERS MILL RD
SOMERSET, KY 42501-3152
Phone number: 606-679-4782
Mailing Address
RUSSELL G HENDRICKS
130 SOUTHERN SCHOOL RD
SOMERSET, KY 42501-3223
Phone number: 606-679-4782