Individual
TRAVIS PAUL DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCA
Contact information
Practice address
1200 LARKWOOD DR, MT STERLING, KY 40353-8847
(606) 481-1609
Mailing address
1200 LARKWOOD DR, MT STERLING, KY 40353-8847
(606) 481-1609
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
283015
KY
101YP2500X
Professional Counselor
260120
KY
Other
Enumeration date
10/02/2019
Last updated
03/19/2024
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