Individual
DONNA COLLEEN DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCAD
Contact information
Practice address
3122 BRYN MAWR DR, INDEPENDENCE, MO 64057-2689
(816) 507-6002
Mailing address
3122 BRYN MAWR DR, INDEPENDENCE, MO 64057-2689
(816) 507-6002
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2019000802
MO
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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