Sandra Lou Drobnick, L.P.C.

Individual provider Active NPI Professional Counselor · Prairie Du Chien, WI

NPI 1992743355 · NPPES record last updated Dec 6, 2011

Key facts

NPI
1992743355
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
903-125 (WI)
Practice address
225 N Beaumont Rd
Suite 326
Prairie Du Chien, WI 53821-1445
Phone
(608) 326-0248
Fax
(608) 326-4395
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
903-125WIMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
County of Crawford Past
since Apr 1, 2005
Accepting new patients
Crawford County CCS Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 903-125 WI Yes

Addresses

Primary practice location

225 N Beaumont Rd
Suite 326
Prairie Du Chien, WI 53821-1445

Mailing address

225 North Beaumont Road
Suite 326
Prairie Du Chien, WI 53821-1445
Phone (608) 326-0248

Other identifiers

IdentifierTypeStateIssuer
39218900MedicaidWI
241791OtherWIMIDLAND CHOICE

Other providers in Prairie Du Chien, WI

All providers in Prairie Du Chien, WI · Professional Counselor in Wisconsin

Sources for this page

Verify at the official NPI Registry.