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Individual

SUSAN S DRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMFT

Contact information

Practice address
17 S HIGHLAND ST, WEST HARTFORD, CT 06119-1826
(860) 978-3368
(860) 233-8110
Mailing address
PO BOX 271715, WEST HARTFORD, CT 06127-1715
(860) 978-3368
(860) 233-8110

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000888
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00060
ANTHEM
CT
01
01260
MAGELLAN
MO
01
06111
OXFORD
CT
01
22771
MHN
KY
01
38520
TRICARE
SC
01
60054
AETNA INSURANCE
TX
01
87726
UNITED BEHAVIORAL
UT
01
SX071
CIGNA BEHAVIORAL
MN
Enumeration date
02/02/2007
Last updated
07/08/2007
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