Individual
BETHANIE J DRAKE
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
1020 S 5TH ST, SPRINGFIELD, IL 62703
(217) 544-3143
(217) 544-4436
Mailing address
1020 S 5TH ST, SPRINGFIELD, IL 62703
(217) 544-3143
(217) 544-4436
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
IL
Other
Enumeration date
10/10/2005
Last updated
07/08/2007
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