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Harold Lynn Drake
Addiction (Substance Use Disorder) Counselor in Dekalb, Illinois
NPI 1760943492

Harold Lynn Drake is an Addiction (Substance Use Disorder) Counselor based in Dekalb, IL and is specialized in Addiction (Substance Use Disorder). Harold Lynn Drake practices in Dekalb, IL. The NPI Number for Harold Lynn Drake is 1760943492 and holds a License No. (Illinois).

The current practice location address for Harold Lynn Drake is 12 Health Services Dr, Dekalb, IL and can be reached out via phone at 815-756-4875.

Location: 12 Health Services Dr, Dekalb, IL, 60115-7109
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1760943492
Provider Name
Harold Lynn Drake
Credential
Provider Entity Type
Individual
Gender
Male
Address
12 Health Services Dr, Dekalb, IL, 60115-7109
Phone Number
815-756-4875
Fax Number
Provider Enumeration Date
03/26/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
474579189001 05 IL
institution
Provider Business Practice Location Address Details
Address
12 Health Services Dr
City
Dekalb
State
Illinois
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider Business Mailing Address Details
Address
12 Health Services Dr
City
Dekalb
State
Illinois
Zip
60115-9637
Phone Number
815-756-4875
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
()
Definition
Definition to come...
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