Individual
MRS. ROBERTA F RHODES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC
Contact information
Practice address
1802 E 10TH ST, JEFFERSONVILLE, IN 47130-6016
(812) 288-2488
(770) 573-9513
Mailing address
2100 MARKET ST STE 101, CHARLESTOWN, IN 47111-9535
(812) 503-5100
(770) 573-9513
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
86000029A
IN
101YA0400X
Addiction (Substance Use Disorder) Counselor
KY-500
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
86000029A
STATE LICENSE CERTIFICATION
IN
Enumeration date
04/09/2007
Last updated
09/17/2019
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