Individual
MS. SENECA RUSSELL-RODRIGUEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
107 N CENTRAL AVE STE C, CAMPBELLSVILLE, KY 42718-2034
(575) 644-8237
Mailing address
608 COLUMBIA HWY, GREENSBURG, KY 42743-1116
(575) 644-8237
(877) 513-3441
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0147341
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
0161871
NM
101YA0400X
Addiction (Substance Use Disorder) Counselor
17401
KY
101YM0800X
Mental Health Counselor
T-0148291
NM
106H00000X
Marriage & Family Therapist
0168751
NM
106H00000X
Marriage & Family Therapist
Primary
173900
KY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
08/20/2009
Last updated
12/05/2018
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