Individual
STEVEY DEMONT DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1803 CARATOKE HWY, MOYOCK, NC 27958-8908
(175) 780-9477
Mailing address
1803 CARATOKE HWY, MOYOCK, NC 27958-8908
(252) 255-8392
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0709024549
VA
Other
Enumeration date
01/24/2022
Last updated
01/24/2022
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