Doctor Name: | STEPHEN MARK DRAMINSKI |
NPI Number: | 1124146907 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | L.C.P.C. |
License Number: | 178-003481 |
Business Practice Address: | 204 W 1st St #102 Kewanee, IL - 614432102 |
Business Phone Number: | 3098542090 |
Business Fax Number: | |
Mailing Address: | Po Box 545, KEWANEE |
State: | IL |
Postal Code: | 614430545 |
Phone Number: | 3098542090 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2007 |
NPI Last Update Date: | 09/06/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 178-003481 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |