| Doctor Name: | NATASHA COLE DRURY |
| NPI Number: | 1306104187 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MS,LPC |
| License Number: | 4659-125 |
| Business Practice Address: | 727 8th St Baraboo, WI - 539131794 |
| Business Phone Number: | 6082204256 |
| Business Fax Number: | |
| Mailing Address: | 134 Vilas Hibbard Pkwy, LODI |
| State: | WI |
| Postal Code: | 535551360 |
| Phone Number: | 6086978173 |
| Fax Number: | |
| NPI Enumeration Date: | 04/30/2012 |
| NPI Last Update Date: | 04/30/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 4659-125 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |