Individual
JUANITA HENDRICKSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
CUMBERLAND RIVERS 1203 AMERICAN GREETING CARD RD, CORBIN, KY 40701-4811
(606) 528-7010
Mailing address
CUMBERLAND RIVERS 1203 GREETING CARD RD., CORBIN, KY 40701
(606) 528-7010
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
KY
Other
Enumeration date
05/30/2018
Last updated
05/30/2018
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