Provider Demographics
NPI:1821337494
Name:DRENT, KARRIE LYNN
Entity Type:Individual
Prefix:
First Name:KARRIE
Middle Name:LYNN
Last Name:DRENT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:KARRIE
Other - Middle Name:LYNN
Other - Last Name:WILSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3222 HOFFMAN ST
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:IL
Mailing Address - Zip Code:60545-1992
Mailing Address - Country:US
Mailing Address - Phone:815-302-7796
Mailing Address - Fax:630-395-9198
Practice Address - Street 1:3222 HOFFMAN ST
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:IL
Practice Address - Zip Code:60545-1992
Practice Address - Country:US
Practice Address - Phone:815-302-7796
Practice Address - Fax:630-395-9198
Is Sole Proprietor?:No
Enumeration Date:2013-02-02
Last Update Date:2013-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst