BETHANIE J DRAKE

SPRINGFIELD, IL
NPI1063400489
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: IL  166000252)
Enumeration Date2005-10-10
Last Update Date2007-07-08
Business Address
-- BETHANIE J DRAKE LMFT
1020 S 5TH ST
SPRINGFIELD, IL 62703
Phone number: 217-544-3143
Mailing Address
-- BETHANIE J DRAKE LMFT
1020 S 5TH ST
SPRINGFIELD, IL 62703
Phone number: 217-544-3143