Individual
KAILA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
753 N STATE ST, NORTH VERNON, IN 47265-1044
(812) 346-7744
Mailing address
6110 W COUNTY ROAD 300 N, NORTH VERNON, IN 47265-7510
(812) 767-4897
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
88001019A
IN
Other
Enumeration date
01/15/2020
Last updated
01/15/2020
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