Provider Demographics
NPI:1720280399
Name:DRENGSON, MICHELLE L (MA, LMHC, NCC)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:L
Last Name:DRENGSON
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 BROOKLYN RD
Mailing Address - Street 2:
Mailing Address - City:OAKVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98568-9714
Mailing Address - Country:US
Mailing Address - Phone:360-451-0155
Mailing Address - Fax:
Practice Address - Street 1:2 BROOKLYN RD
Practice Address - Street 2:
Practice Address - City:OAKVILLE
Practice Address - State:WA
Practice Address - Zip Code:98568-9714
Practice Address - Country:US
Practice Address - Phone:360-451-0155
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010122101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health