| Renata Drukh Psychology Llc | |
|
10163 Mc Laurin Rd E Jacksonville FL 32256-6509 | |
| (847) 293-8864 | |
| Not Available |
| Full Name | Renata Drukh Psychology Llc |
|---|---|
| Speciality | Counselor |
| Location | 10163 Mc Laurin Rd E, Jacksonville, Florida |
| Authorized Official Name and Position | Renata Drukh (PRESIDENT) |
| Authorized Official Contact | 8472938864 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renata Drukh Psychology Llc 10163 Mc Laurin Rd E Jacksonville FL 32256-6509 Ph: (847) 293-8864 | Renata Drukh Psychology Llc 10163 Mc Laurin Rd E Jacksonville FL 32256-6509 Ph: (847) 293-8864 |
| NPI Number | 1538979406 |
|---|---|
| Provider Enumeration Date | 01/13/2025 |
| Last Update Date | 02/11/2025 |
| Certification Date | 02/11/2025 |
| Medicare PECOS PAC ID | 1951831007 |
|---|---|
| Medicare Enrollment ID | O20250205001442 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538979406 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Renata Drukh |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1811234685 PECOS PAC ID: 2860922911 Enrollment ID: I20250205002138 |
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