Organization
DRAKE COUNSELING SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES P. DRAKE PH.D (PRESIDENT)
(701) 293-5429
Entity
Organization
Contact information
Practice address
919 8TH AVE N, MOORHEAD, MN 56560-2098
(701) 293-5429
(701) 293-0736
Mailing address
1202 23RD ST S, FARGO, ND 58103-2951
(701) 293-5429
(701) 293-0736
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
1044691-1-CDT
MN
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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