Jenelle Drake, MA, LMFT, LPC | |
309 Willow Bend Ct, Chesapeake, VA 23323-1057 | |
(401) 595-0624 | |
Not Available |
Full Name | Jenelle Drake |
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Gender | Female |
Speciality | Counselor - Professional |
Location | 309 Willow Bend Ct, Chesapeake, Virginia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1134674971 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
106H00000X | Marriage & Family Therapist | IMF8720 (California) | Secondary |
101YP2500X | Counselor - Professional | 0701010840 (Virginia) | Primary |
Entity Name | Coastal Counseling Center Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1639264112 PECOS PAC ID: 7012997380 Enrollment ID: O20040726000886 |
Mailing Address | Practice Location Address |
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Jenelle Drake, MA, LMFT, LPC 309 Willow Bend Ct, Chesapeake, VA 23323-1057 Ph: (401) 595-0624 | Jenelle Drake, MA, LMFT, LPC 309 Willow Bend Ct, Chesapeake, VA 23323-1057 Ph: (401) 595-0624 |
Mrs. Mercedes Santos-bell, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 4037 Taylor Rd Ste D, Chesapeake, VA 23321 Phone: 917-406-6763 | |
Ashley Marie Dyer, LPC Counselor Medicare: Medicare Enrolled Practice Location: 2010 Old Greenbrier Rd Ste G, Chesapeake, VA 23320 Phone: 757-493-2912 Fax: 866-730-6583 | |
Katrina A Reeves, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1613 Martin Ave, Chesapeake, VA 23324 Phone: 757-449-8278 | |
Mrs. Sharon Walker, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 901 Gammon Trl, Chesapeake, VA 23322 Phone: 757-284-9184 | |
Jessica Renee Cooper, Counselor Medicare: Not Enrolled in Medicare Practice Location: 816 Greenbrier Cir Ste 100, Chesapeake, VA 23320 Phone: 757-694-4723 Fax: 757-301-8803 | |
Mrs. Andrea Rosalind Stephen, LPC IN RESIDENT Counselor Medicare: Not Enrolled in Medicare Practice Location: 3804 Poplar Hill Rd Ste D, Chesapeake, VA 23321 Phone: 757-210-9381 | |
Miss Hillary Simone Zaneveld, LPC CSAC Counselor Medicare: Medicare Enrolled Practice Location: 224 Great Bridge Blvd, City Of Chesap Ta Chesapeake Comm Services Board, Chesapeake, VA 23320 Phone: 757-547-9334 Fax: 757-819-6292 |