Individual provider · Type 1 NPI
Tonya Drake, DPC, LPC, NCC
Professional Counselor · Vicksburg, MS
NPI number
1902474463
Active
Practice location
101 Southpark Dr
Vicksburg, MS 39180-9784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 2157 (MS) |
Professional Counselor: Definition to come...
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About NPI 1902474463
Tonya Drake, DPC, LPC, NCC's National Provider Identifier is 1902474463, issued on Jun 11, 2021. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Vicksburg, MS. The record was last updated on Jun 19, 2021.