Individual
HEATHER DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LSCSW
Contact information
Practice address
5231 ABERDEEN RD, FAIRWAY, KS 66205-1728
(913) 269-1748
Mailing address
5231 ABERDEEN RD, FAIRWAY, KS 66205-1728
(913) 269-1748
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CRAADC #1476
MO
1041C0700X
Clinical Social Worker
LCSW #004458
MO
1041C0700X
Clinical Social Worker
Primary
LSCSW #1453
KS
Other
Enumeration date
08/24/2016
Last updated
08/24/2016
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