Individual provider · Type 1 NPI

Glen S. Drake, MA

Marriage & Family Therapist · Harrison, ID

NPI number 1790815876 Active

Practice location

15050 E Sunset Shores Cir
Harrison, ID 83833-8807

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XLMFT6888 (ID)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

About NPI 1790815876

Glen S. Drake, MA's National Provider Identifier is 1790815876, issued on Mar 6, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Harrison, ID. The record was last updated on May 1, 2025.