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NPI Code Detail

MEDICARE: VALERIE A. DRASKOVICH

MEDICARE: VALERIE A. DRASKOVICH
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
1101YM0800XMental Health Counselor6373MA

General Provider Information

NPI Number : 1609061589
Entity Type Code : Organization
Provider Name (Legal Business Name) : VALERIE A. DRASKOVICH
Provider Business Mailing Address
First Line : 3 BRAEBURN CT
Second Line :
City : BEDFORD
State : NH
Zip : 03110-4433
Country : US
Telephone Number : 603-488-5557
Fax Number :
Provider Business Practice Location Address
First Line : 753 CHESTNUT ST
Second Line :
City : MANCHESTER
State : NH
Zip : 03104-3011
Country : US
Telephone Number : 603-703-6779
Fax Number :
Authorized Official
Title or Position : PRESIDENT
Name : MS. VALERIE ANN DRASKOVICH
Credential :
Telephone Number : 603-488-5557
Provider Enumeration Date : 09/13/2007
Last Update Date : 01/18/2008

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