Doctor Name: | DAWNA L HAMMOND KAZREGIS |
NPI Number: | 1073973830 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CADC |
License Number: | CAC5975 |
Business Practice Address: | 28 Congress St Rumford, ME - 042762092 |
Business Phone Number: | 2073641610 |
Business Fax Number: | 2073641611 |
Mailing Address: | 28 Congress St, RUMFORD |
State: | ME |
Postal Code: | 042762092 |
Phone Number: | 2073641610 |
Fax Number: | 2073641611 |
NPI Enumeration Date: | 03/07/2016 |
NPI Last Update Date: | 03/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | CAC5975 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | ME |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |