Individual
LISA ANN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
424 E MAIN ST, BOYNE CITY, MI 49712-1310
(231) 622-2421
Mailing address
424 E MAIN ST, BOYNE CITY, MI 49712-1310
(231) 622-2421
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401013883
—
101YS0200X
School Counselor
6401013883
MI
Other
Enumeration date
04/18/2014
Last updated
09/12/2024
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