Individual
MS. SALISA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
751 EAST BAYOU PINES DR, SUITE C, LAKE CHARLES, LA 70601
(337) 433-3292
Mailing address
2525 YOUREE DR STE 110, SHREVEPORT, LA 71104-3600
(318) 742-3408
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
02/03/2016
Last updated
02/03/2016
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