Individual
RODNEY FREDERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
Mailing address
4414 OLD LAGRANGE RD, BUCKNER, KY 40010-9547
(502) 222-2389
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
291838
KY
Other
Enumeration date
05/28/2024
Last updated
05/28/2024
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