| Nikkita Drake Llc | |
|
43 Glendale Ave Auburn ME 04210-3944 | |
| (207) 219-1222 | |
| Not Available |
| Full Name | Nikkita Drake Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 43 Glendale Ave, Auburn, Maine |
| Authorized Official Name and Position | Nikkita Drake (CLINICIAN) |
| Authorized Official Contact | 2072191222 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Nikkita Drake Llc 43 Glendale Ave Auburn ME 04210-3944 Ph: (207) 219-1222 | Nikkita Drake Llc 43 Glendale Ave Auburn ME 04210-3944 Ph: (207) 219-1222 |
| NPI Number | 1770309551 |
|---|---|
| Provider Enumeration Date | 11/26/2024 |
| Last Update Date | 11/26/2024 |
| Certification Date | 11/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1770309551 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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