Healthcare Provider Details

I. General information

NPI: 1598765299
Provider Name (Legal Business Name): JOANNE E DOBRZANSKI LPC, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/26/2005
Last Update Date: 02/08/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

651 COLLIERS WAY SUITE 412
WEIRTON WV
26062
US

IV. Provider business mailing address

P.O. BOX 348
COLLIERS WV
26035
US

V. Phone/Fax

Practice location:
  • Phone: 304-723-3423
  • Fax: 304-723-3426
Mailing address:
  • Phone: 304-723-3423
  • Fax: 304-723-3426

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number936
License Number StateWV
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberCP00450679
License Number StateWV

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: