Provider Demographics
NPI:1902266034
Name:CARRIER, DREW (LPC)
Entity Type:Individual
Prefix:
First Name:DREW
Middle Name:
Last Name:CARRIER
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 150
Mailing Address - Street 2:
Mailing Address - City:WINFIELD
Mailing Address - State:MO
Mailing Address - Zip Code:63389-0150
Mailing Address - Country:US
Mailing Address - Phone:636-668-7670
Mailing Address - Fax:636-668-6685
Practice Address - Street 1:1015 CORPORATE SQUARE DR
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63132-2932
Practice Address - Country:US
Practice Address - Phone:314-344-6700
Practice Address - Fax:314-344-6194
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-02
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2015019900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional