Individual
CHARLENE ANN DRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
728 N CROSS POINTE BLVD STE 102, EVANSVILLE, IN 47715-9163
(812) 401-1836
Mailing address
726 S BENNIGHOF AVE, EVANSVILLE, IN 47714-2022
(503) 784-9050
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
34008039A
IN
101YM0800X
Mental Health Counselor
34008039A
IN
101YP2500X
Professional Counselor
34008039A
IN
1041C0700X
Clinical Social Worker
Primary
34008039A
IN
Other
Enumeration date
01/02/2018
Last updated
01/02/2018
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