Individual
LINDA KAY HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADT-3802
Contact information
Practice address
69 SHERRY LN, PRINCE FREDERICK, MD 20678-3231
(443) 968-8331
Mailing address
335 CUSTER CT, LUSBY, MD 20657-2510
(937) 831-1197
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3802
MD
106S00000X
Behavior Technician
—
—
171M00000X
Case Manager/Care Coordinator
—
OH
247200000X
Other Technician
—
—
Other
Enumeration date
10/25/2016
Last updated
07/09/2025
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