Individual
AMY L DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
117 W 9TH ST, AUBURN, IN 46706-2224
(260) 925-2017
Mailing address
1746 OAKWOOD DR, WINONA LAKE, IN 46590-1665
(574) 453-7454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
34006389A
IN
101YM0800X
Mental Health Counselor
—
—
Other
Enumeration date
08/20/2010
Last updated
12/28/2011
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