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Individual
MS. KATHLEEN ANN DRAKE
Active
Individual
MS. KATHLEEN ANN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I NCAC I
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
06-07-15
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
06-07-15
OR
171M00000X
Case Manager/Care Coordinator
06-07-15
OR
Other
Enumeration date
02/26/2007
Last updated
05/11/2012
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