Bethanie J Drake LMFT

NPI 1063400489 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1063400489
Gender Female
Enumeration Date 10/10/2005
Last Updated 07/08/2007
Entity Type Individual
Active Over 11 years ago
Practice Location
1020 S 5TH ST
SPRINGFIELD IL, 62703, US
Phone (217) 544-3143
Fax (217) 544-4436
Business Location
1020 S 5TH ST
SPRINGFIELD IL, 62703, US
Phone (217) 544-3143
Fax (217) 544-4436
Toxanomy
Taxonomy Code 106H00000X
License State
License Number
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According to our database, Bethanie J Drake LMFT NPI is 1063400489, taxonomy code is 106H00000X Bethanie J Drake LMFT physically located at 1020 S 5th St, Springfield IL, 62703. NPI Number Bethanie J Drake LMFT has the Individual type.

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1063400489 NPI number is provided on an as is basis without warranty of any kind. 1063400489 is maintained by the National Plan & Provider Enumeration System. The contents of Bethanie J Drake LMFT are for informational purposes only.