Individual
ANDREA H DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1075 E PARK BLVD, BOISE, ID 83712-7722
(208) 381-5970
Mailing address
190 E BANNOCK ST, BOISE, ID 83712-6241
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LMSW-37747
ID
1041C0700X
Clinical Social Worker
Primary
LCSW-41347
ID
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LMSW-37747
—
ID
Enumeration date
06/07/2018
Last updated
09/12/2025
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