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Contact Information

KRISTEN DRASKOVIC, LCSW, RN, RDN
4590 HARRISON BLVD STE 200B
OGDEN, UT84403-3350
 Phone: 701-866-2612
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Dietitian, Registered

133V00000X 71 Registered Dietitian or Nutrition Professional
 

Psychiatric/Mental Health

163WP0808X
Indicates primary specialty

NPI Profile & details for KRISTEN DRASKOVIC · (Female)

NPI # 1083966519
Status Active
Credentials LCSW, RN, RDN
Entity Individual
Enumeration date 10/08/2012
Last updated 07/26/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • UT License # 11601167-3102
  • UT License # 11601167-3501
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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