Individual
JAMES J DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1720 N WESTGATE DR, BOISE, ID 83704-7164
(208) 501-3896
(208) 334-0812
Mailing address
6300 W DENTON ST, BOISE, ID 83704-9326
(208) 577-4800
(208) 287-5609
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC-5225
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265565477
—
ID
Enumeration date
02/18/2013
Last updated
03/17/2017
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