Individual
AUDREY DRENT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
14930 LAPLAISANCE RD STE 127, MONROE, MI 48161-3878
(734) 344-5269
Mailing address
400 TOBIN DR APT 6, INKSTER, MI 48141-3500
(804) 319-6209
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2060761
—
MI
Enumeration date
05/19/2022
Last updated
05/19/2022
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