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Individual

DR. ROMA G DREVETS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PH.D,LCPC,AAPS

Contact information

Practice address
1700 E IRON AVE, SALINA, KS 67401-3401
(785) 823-1961
(785) 827-1401
Mailing address
PO BOX 2103, SALINA, KS 67402-2103
(785) 823-1961
(785) 827-1401

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
598
KS
101YM0800X
Mental Health Counselor
Primary
LCPC 179
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
119849
BLUE CROSS BLUE SHIELD KS
KS
Enumeration date
06/24/2005
Last updated
03/18/2009
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