Provider Demographics
NPI:1194879833
Name:DREW, ALICIA (LPC, LCPC)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:
Last Name:DREW
Suffix:
Gender:F
Credentials:LPC, LCPC
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 190
Mailing Address - Street 2:
Mailing Address - City:HAMEL
Mailing Address - State:IL
Mailing Address - Zip Code:62046-0190
Mailing Address - Country:US
Mailing Address - Phone:618-567-8827
Mailing Address - Fax:844-797-8138
Practice Address - Street 1:PO BOX 190
Practice Address - Street 2:
Practice Address - City:HAMEL
Practice Address - State:IL
Practice Address - Zip Code:62046-0190
Practice Address - Country:US
Practice Address - Phone:618-567-8827
Practice Address - Fax:844-797-8138
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2025-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2000155603101YM0800X
IL180.006692101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL180.006692OtherLCPC