Individual
JAMES M RUNDLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
907 HUSBAND RD, PADUCAH, KY 42003-0202
(270) 201-6049
Mailing address
PO BOX 3703, PADUCAH, KY 42002-3703
(270) 441-7924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
167330
KY
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
06/28/2011
Last updated
07/21/2022
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