| Mr Glen S Drake, MA | |
|
118 N 7th St Ste C13, Coeur D Alene, ID 83814 | |
| (559) 731-3727 | |
| Not Available |
| Full Name | Mr Glen S Drake |
|---|---|
| Gender | Male |
| Speciality | Marriage & Family Therapist |
| Location | 118 N 7th St Ste C13, Coeur D Alene, Idaho |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790815876 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC40112 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT6888 (Idaho) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Glen S Drake, MA 118 N 7th St, Coeur D Alene, ID 83814-2760 Ph: (559) 731-3727 | Mr Glen S Drake, MA 118 N 7th St Ste C13, Coeur D Alene, ID 83814 Ph: (559) 731-3727 |
Jena Farid, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 2101 N Lakewood Dr Ste 222, Coeur D Alene, ID 83814 Phone: 208-274-3320 | |
Ms. Stacy Annette Brittain, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 610 W Hubbard St Ste 226, Coeur D Alene, ID 83814 Phone: 650-793-4966 | |
Miss Lara Patrice Gagne, Couples Therapy Medicare: Medicare Enrolled Practice Location: 1044 Northwest Blvd Ste C, Coeur D Alene, ID 83814 Phone: 208-930-1740 Fax: 208-930-1695 | |
Thomas R Vanfossen, LMFT Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 5431 N Government Way, Suite B, Coeur D Alene, ID 83815 Phone: 208-667-7603 Fax: 208-667-7609 | |
Devona Marie Mahal, LPC Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 101 W Ironwood Dr Ste 216, Coeur D Alene, ID 83814 Phone: 208-691-1365 | |
Mr. Scott Harper Oden, L.M.F.T. Couples Therapy Medicare: Not Enrolled in Medicare Practice Location: 212 S 11th St, Coeur D Alene, ID 83814 Phone: 208-640-0053 | |
Mr. Stephen Dwight Yates, M.A., LMFT Couples Therapy Medicare: Medicare Enrolled Practice Location: 1270 N Northwood Center Ct, Coeur D Alene, ID 83814 Phone: 208-769-4222 Fax: 208-807-3782 |