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DR. ROMA G DREVETS PH.D,LCPC,AAPS

Addiction Substance Use Disorder

Salina, Kansas

Provider NPI: 1902802820

Provider Information:
DR. ROMA G DREVETS PH.D,LCPC,AAPS
Gender: F
Not Sole Proprietor

Practice Location:
1700 E IRON AVE  SALINA, KS 67401 US
Tel: 785-823-1961  Fax: 785-827-1401

Business Mailing Address:
PO BOX 2103  SALINA, KS 67402 US
Tel: 785-823-1961  Fax: 785-827-1401

Entity Type: Individual

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
KS598
Y101YM0800XBehavioral Health & Social Service Providers
Counselor
KSLCPC 179

Other Provider Identifiers:

IssuerNumberStateType
BLUE CROSS BLUE SHIELD KS119849KS01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin







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