Kezia Eileen Drake, LPC | |
715 W 2nd Ave, Corsicana, TX 75110-3012 | |
(903) 872-4442 | |
(903) 872-2125 |
Full Name | Kezia Eileen Drake |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 715 W 2nd Ave, Corsicana, Texas |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1336756626 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | 77783 (Texas) | Primary |
Entity Name | Kezia Drake Counseling |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902488083 PECOS PAC ID: 4284174665 Enrollment ID: O20240912000392 |
Mailing Address | Practice Location Address |
---|---|
Kezia Eileen Drake, LPC 715 W 2nd Ave, Corsicana, TX 75110-3012 Ph: (903) 872-4442 | Kezia Eileen Drake, LPC 715 W 2nd Ave, Corsicana, TX 75110-3012 Ph: (903) 872-4442 |
Jenny Beatriz Henson, MS, LPC, LCDC Counselor Medicare: Medicare Enrolled Practice Location: 715 W 2nd Ave, Corsicana, TX 75110 Phone: 903-872-4443 Fax: 903-872-2125 | |
Mr. Steven Lee Gaines, Counselor Medicare: Not Enrolled in Medicare Practice Location: 410 E Drane Ave, Corsicana, TX 75110 Phone: 903-872-2596 Fax: 903-872-2596 | |
Mary M Parks, LCDC Counselor Medicare: Not Enrolled in Medicare Practice Location: 109 W Mall Dr, Corsicana, TX 75110 Phone: 903-872-6727 | |
Christi Shortes, Counselor Medicare: Not Enrolled in Medicare Practice Location: 5024 Fm 304, Corsicana, TX 75109 Phone: 469-285-3451 | |
Jerry Ronald Anderson, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 N Main St, Suite N, Corsicana, TX 75110 Phone: 903-654-2064 | |
Ms. Lorie Marie Stovall, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 800 N Main St, Corsicana, TX 75110 Phone: 903-654-2407 | |
Ms. Rachel Marie Bruce, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2002 W Belclaire Cir, Corsicana, TX 75110 Phone: 903-453-1043 |