Individual
TINA MARIE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSAC
Contact information
Practice address
65-1190 MAMALAHOA HWY, KAMUELA, HI 96743-8431
(808) 887-6460
(808) 885-4126
Mailing address
PO BOX 1816, HONOKAA, HI 96727-1816
(808) 887-6460
(808) 885-4126
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3050-22
HI
Other
Enumeration date
12/23/2025
Last updated
12/23/2025
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