MEDICARE: IGOR V DROBUSHEV

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1962743500
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	IGOR V DROBUSHEV

Provider Business Mailing Address
First Line	:	6430 PEAVINE HILLS AVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-2867
Country	:	US
Telephone Number	:	775-843-1783
Fax Number	:

Provider Business Practice Location Address
First Line	:	6430 PEAVINE HILLS AVE
Second Line	:
City	:	RENO
State	:	NV
Zip	:	89523-2867
Country	:	US
Telephone Number	:	775-843-1783
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2013
Last Update Date	:	03/15/2026

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Directions to “ IGOR V DROBUSHEV ” Practice Location

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