Individual
RODNEY PENTECOST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1528 NW 5TH ST STE 100, RICHMOND, IN 47374-1844
(812) 200-2789
Mailing address
1528 NW 5TH ST STE 100, RICHMOND, IN 47374-1844
(812) 200-2789
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C2-51308
IN
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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