Individual
LYNN MARIE RICHENDOLLAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BIS, TCADC
Contact information
Practice address
148 S. NELSON PARK RD, PADUCAH, KY 42001-4200
(270) 908-2681
(270) 415-5347
Mailing address
349 E 3RD AVE, CALVERT CITY, KY 42029-7617
(270) 493-2939
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
263781
KY
Other
Enumeration date
09/11/2020
Last updated
09/11/2020
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