Provider Demographics
NPI:1770743726
Name:DRUM, LAUREN JENNIFER
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:JENNIFER
Last Name:DRUM
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:JENNIFER
Other - Last Name:HUTCHINSON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4624 193RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:ISSAQUAH
Mailing Address - State:WA
Mailing Address - Zip Code:98027-9365
Mailing Address - Country:US
Mailing Address - Phone:425-641-1517
Mailing Address - Fax:
Practice Address - Street 1:4624 193RD AVE SE
Practice Address - Street 2:
Practice Address - City:ISSAQUAH
Practice Address - State:WA
Practice Address - Zip Code:98027-9365
Practice Address - Country:US
Practice Address - Phone:425-641-1517
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00059142101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health