Individual
JEREMY DRAKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A, L.L.P.C
Contact information
Practice address
14932 MERCURY DR, GRAND HAVEN, MI 49417-9521
(616) 405-1702
Mailing address
14932 MERCURY DR, GRAND HAVEN, MI 49417-9521
(616) 405-1702
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011440
MI
Other
Enumeration date
08/10/2009
Last updated
04/12/2012
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