Provider Demographics
NPI:1477918092
Name:WEDDLE, RONDA (LPCC)
Entity Type:Individual
Prefix:
First Name:RONDA
Middle Name:
Last Name:WEDDLE
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1005 W COLUMBIA ST
Mailing Address - Street 2:SUITE C
Mailing Address - City:SOMERSET
Mailing Address - State:KY
Mailing Address - Zip Code:42503-2720
Mailing Address - Country:US
Mailing Address - Phone:606-271-6693
Mailing Address - Fax:
Practice Address - Street 1:1005 W COLUMBIA ST
Practice Address - Street 2:SUITE C
Practice Address - City:SOMERSET
Practice Address - State:KY
Practice Address - Zip Code:42503-2720
Practice Address - Country:US
Practice Address - Phone:606-271-6693
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-12-25
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KYLPCPCC00223175101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional