Individual
ALYSSA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
705 N 16TH ST, COUNCIL BLUFFS, IA 51501-0105
(712) 325-5640
Mailing address
705 N 16TH ST, COUNCIL BLUFFS, IA 51501-0105
(712) 325-5640
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
120489
IA
Other
Enumeration date
11/30/2016
Last updated
05/15/2023
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