Individual
JESSICA JUNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
595 FOREST AVE, PLYMOUTH, MI 48170-1775
(605) 759-4385
Mailing address
9004 ROCKLAND, REDFORD, MI 48239-1888
(605) 759-4385
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
6361007695
MI
103T00000X
Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
08/11/2017
Last updated
04/21/2023
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