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Roger Dale Hendrickson, MA
Mental Health Counselor in Maysville, Kentucky
NPI 1861688228

Roger Dale Hendrickson is a Mental Health Counselor based in Maysville, KY and is specialized in Mental Health. Roger Dale Hendrickson practices in Maysville, KY and has the professional credentials of MA. The NPI Number for Roger Dale Hendrickson is 1861688228 and holds a License No. (Kentucky).

The current practice location address for Roger Dale Hendrickson is 611 Forest Ave, Maysville, KY and can be reached out via phone at 606-564-4016. You can also correspond with Roger Dale Hendrickson through the mailing address at 611 FOREST AVE, MAYSVILLE, KY - 41056-1411 (mailing address contact number: 606-564-4016).

Location: 611 Forest Ave, Maysville, KY, 41056-1411
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Provider Profile Details
NPI Number
1861688228
Provider Name
Roger Dale Hendrickson
Credential
MA
Provider Entity Type
Individual
Gender
Male
Address
611 Forest Ave, Maysville, KY, 41056-1411
Phone Number
606-564-4016
Fax Number
Provider Enumeration Date
09/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
30608012 05 KY
institution
Provider Business Practice Location Address Details
Address
611 Forest Ave
City
State
Zip
41056-1411
Phone Number
606-564-4016
Fax Number
person
Provider Business Mailing Address Details
Address
611 Forest Ave
City
State
Zip
41056-1411
Phone Number
606-564-4016
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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