Drake, Glen S

Drake, Glen S is an sole proprietor health care provider with primary practice located at 118 N 7Th St Ste C13 , Coeur D Alene ID 83814. He recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as his primary health care specialty. Drake, Glen S can be contacted via phone (559) 731-3727.

Contact Information

Primary practice address
118 N 7Th St Ste C13 Coeur D Alene ID 83814
Phone: (559) 731-3727
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC40112 California
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT6888 Idaho

Profile Details

NPI number 1790815876
LBN Legal business name Drake, Glen S
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 6th, 2007
Last updated Apr 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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