DR. Tonya Drake, DPC, LPC, NCC
NPI #1902474463 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1902474463
- Entity Type
- Individual
- Name
- DR. Tonya Drake, DPC, LPC, NCC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- DPC, LPC, NCC
- Enumeration Date
- Jun 11, 2021
- Last Updated
- Jun 19, 2021
Practice Location
- Address
- 101 SOUTHPARK DR
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-9784
- Phone
- (601) 456-1669
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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