Individual
COLLEEN SONJA DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
70362 KUNZE LN, BOARDMAN, OR 97818-8013
(541) 481-3233
(541) 481-3234
Mailing address
3587 HEATHROW WAY, MEDFORD, OR 97504-4004
(541) 858-8170
(541) 858-8167
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/17/2020
Last updated
03/17/2020
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