Individual
KRYSTAL LYNNE DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
151 ORCHARDVIEW RD, SEVEN HILLS, OH 44131-5836
(573) 882-8876
(573) 884-3518
Mailing address
PO BOX 7687, COLUMBIA, MO 65205-7687
(573) 882-2259
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
7548
OH
103TC1900X
Counseling Psychologist
2012035182
MO
Other
Enumeration date
10/30/2012
Last updated
11/07/2018
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