Individual
JENELLE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMFT, LPC
Contact information
Practice address
309 WILLOW BEND CT, CHESAPEAKE, VA 23323-1057
(401) 595-0624
Mailing address
309 WILLOW BEND CT, CHESAPEAKE, VA 23323-1057
(401) 595-0624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
0701010840
VA
106H00000X
Marriage & Family Therapist
IMF8720
CA
Other
Enumeration date
08/22/2016
Last updated
12/29/2021
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