Individual
CRYSTAL DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
53 W JACKSON BLVD, CHICAGO, IL 60604-3606
(312) 761-8800
Mailing address
928 N DRAKE AVE, CHICAGO, IL 60651-4034
(312) 428-1300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
178.018475
IL
Other
Enumeration date
11/17/2022
Last updated
11/17/2022
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