MR. Glen S Drake, MA

NPI #1790815876 in Harrison, Idaho

Provider Information

NPI Number
1790815876
Entity Type
Individual
Name
MR. Glen S Drake, MA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Marriage & Family Therapist
Credential
MA
Enumeration Date
Mar 6, 2007
Last Updated
May 1, 2025

Practice Location

Address
15050 E SUNSET SHORES CIR
State
Idaho
ZIP Code
83833-8807
Phone
(559) 731-3727

Specialties & Taxonomy Codes

Specialty
Marriage & Family Therapist

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