Organization
DAN DRAKE, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORPORATION
Active
Other names
Dan Drake, MFT, LPCC
Organization subpart
No
Provider details
NPI number
Authorized official
DAN DRAKE MS, MA (PRESIDENT)
(310) 415-5732
Entity
Organization
Contact information
Practice address
11712 MOORPARK ST, SUITE 111, STUDIO CITY, CA 91604-2154
(310) 415-5732
Mailing address
11712 MOORPARK ST, SUITE 111, STUDIO CITY, CA 91604-2154
(310) 415-5732
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
MFC49986
CA
Other
Enumeration date
07/21/2014
Last updated
07/21/2014
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