Provider Demographics
NPI:1730496738
Name:VALANDRA, RODNEY ALAN (LPCC)
Entity Type:Individual
Prefix:MR
First Name:RODNEY
Middle Name:ALAN
Last Name:VALANDRA
Suffix:
Gender:M
Credentials:LPCC
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:3624 JONATHAN DR
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:KY
Mailing Address - Zip Code:41048-8209
Mailing Address - Country:US
Mailing Address - Phone:859-982-9296
Mailing Address - Fax:859-980-0266
Practice Address - Street 1:6080 CAMP ERNST RD
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:KY
Practice Address - Zip Code:41005-8354
Practice Address - Country:US
Practice Address - Phone:859-982-9296
Practice Address - Fax:859-980-0266
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-12
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
KY104293101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY1730496738OtherNPI