Doctor Name: | MS. CAROL HELAINE DRENGENBERG |
NPI Number: | 1003961970 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | RN, LCPC |
License Number: | 180003173 |
Business Practice Address: | 910 Skokie Blvd Suite 211 Northbrook, IL - 600624013 |
Business Phone Number: | 8472727608 |
Business Fax Number: | 8472725863 |
Mailing Address: | 910 Skokie Blvd, Suite 211 NORTHBROOK |
State: | IL |
Postal Code: | 600624013 |
Phone Number: | 8472727608 |
Fax Number: | 8472725863 |
NPI Enumeration Date: | 01/23/2007 |
NPI Last Update Date: | 12/22/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 180003173 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |