Individual
NICHOLAS DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LICSW
Contact information
Practice address
19586 10TH AVE NE, POULSBO, WA 98370-7332
(517) 410-7430
Mailing address
27475 GAMBLE BAY RD NE, KINGSTON, WA 98346-9539
(517) 410-7430
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
LW61196656
WA
1041C0700X
Clinical Social Worker
Primary
61196656
WA
1041C0700X
Clinical Social Worker
6802088156
MI
1041C0700X
Clinical Social Worker
Primary
LW61196656
WA
Other
Enumeration date
03/04/2015
Last updated
03/13/2026
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