HAROLD LYNN DRAKE

DEKALB, IL
NPI1760943492
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2019-03-26
Last Update Date2019-03-26
Business Address
HAROLD LYNN DRAKE
12 HEALTH SERVICES DR
DEKALB, IL 60115-9637
Phone number: 815-756-4875
Mailing Address
HAROLD LYNN DRAKE
PO BOX 1109
DEKALB, IL 60115-7109
Phone number:
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