Individual
MRS. MIRIAM STEPHENS DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.E.D
Contact information
Practice address
23832 ROCKFIELD BLVD, 160, LAKE FOREST, CA 92630
(949) 354-9693
Mailing address
3367 PUNTA ALTA, 3G, LAGUNA WOODS, CA 92637
(949) 354-9693
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
09/20/2019
Last updated
09/20/2019
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