Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 8264 | NE |
NPI | 1003030065 |
---|---|
Provider Name | Ms. Sonja Lynne Dressel |
First Address | Chadron, NE 69337 |
Second Address | Chadron, NE 69337 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2007 |
Last Update Date | 08/07/2007 |