Provider Demographics
NPI:1942229307
Name:DRAGOMIR, RENNE R (LPCC)
Entity Type:Individual
Prefix:
First Name:RENNE
Middle Name:R
Last Name:DRAGOMIR
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:152 N. BROADWAY
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NEW PHILADELPHIA
Mailing Address - State:OH
Mailing Address - Zip Code:44663
Mailing Address - Country:US
Mailing Address - Phone:330-364-9360
Mailing Address - Fax:330-364-9769
Practice Address - Street 1:152 N. BROADWAY
Practice Address - Street 2:SUITE 200
Practice Address - City:NEW PHILADELPHIA
Practice Address - State:OH
Practice Address - Zip Code:44663
Practice Address - Country:US
Practice Address - Phone:330-364-9360
Practice Address - Fax:330-364-9769
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHE-3668101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health