Individual
MR. GLEN S DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
15050 E SUNSET SHORES CIR, HARRISON, ID 83833-8807
(559) 731-3727
Mailing address
15050 E SUNSET SHORES CIR, HARRISON, ID 83833-8807
(559) 731-3727
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT6888
ID
Other
Enumeration date
03/06/2007
Last updated
05/01/2025
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