Individual provider · Type 1 NPI
Jennifer Podrebarac, LCDC
Addiction (Substance Use Disorder) Counselor · Waco, TX
NPI number
1104432632
Active
Practice location
2010 Lasalle Ave, Ste B
Waco, TX 76706
Fax (254) 756-3133
Mailing address
PO Box 890
Waco, TX 76703-0890
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 10533 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104432632
Jennifer Podrebarac, LCDC's National Provider Identifier is 1104432632, issued on Sep 21, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waco, TX. The record was last updated on Sep 21, 2020.