Doctor Name: | BOZENA DRABIK |
NPI Number: | 1013395094 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | CP60342266 |
Business Practice Address: | 600 Broadway St Longview, WA - 986323256 |
Business Phone Number: | 3602743262 |
Business Fax Number: | 3605019210 |
Mailing Address: | 1057 12th Ave, LONGVIEW |
State: | WA |
Postal Code: | 986322509 |
Phone Number: | 3602743262 |
Fax Number: | |
NPI Enumeration Date: | 05/11/2015 |
NPI Last Update Date: | 05/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CP60342266 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |