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General NPI Number Information
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NPI Number | 1902802820
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Entity Type | Individual
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Provider Name | ROMA G DREVETS PH.D,LCPC,AAPS
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Gender | Female
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Dates
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Enumeration Date | 06/24/2005
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Last Update Date | 03/18/2009
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Provider Practice Location Address
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Address Line | 1700 E IRON AVE
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City | SALINA
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State | KS
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Zip | 67401-3401
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Country | US
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Telephone | 785-823-1961
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Fax | 785-827-1401
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Provider Business Mailing Address
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Address Line | PO BOX 2103
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City | SALINA
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State | KS
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Zip | 67402-2103
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Country | US
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Telephone | 785-823-1961
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Fax | 785-827-1401
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 598
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LCPC 179
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License Number State | KS
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