Basic Information
| Provider Information | |||||||||
| NPI: | 1043694177 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DUBREL | ||||||||
| FirstName: | FRANCES | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4121 FORNI RD | ||||||||
| Address2: | |||||||||
| City: | PLACERVILLE | ||||||||
| State: | CA | ||||||||
| PostalCode: | 956677001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5309577796 | ||||||||
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| Practice Location | |||||||||
| Address1: | 5494 PONY EXPRESS TRAIL | ||||||||
| Address2: | |||||||||
| City: | POLLOCK PINES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 95667 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 5306443758 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/18/2015 | ||||||||
| LastUpdateDate: | 07/18/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 1041S0200X | Y | Behavioral Health & Social Service Providers | Social Worker | School |
No ID Information.