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Chad Drake
Clinical Psychologist in Carbondale, Illinois
NPI 1891169629

Chad Drake is a Clinical Psychologist based in Carbondale, IL and is specialized in Clinical. Chad Drake practices in Carbondale, IL. The NPI Number for Chad Drake is 1891169629 and holds a License No. 071008612 (Illinois).

The current practice location address for Chad Drake is 625 Wham Dr, Carbondale, IL and can be reached out via phone at 618-453-2361 and via fax at 618-453-6130.

Location: 625 Wham Dr, Carbondale, IL, 62901-4313
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891169629
Provider Name
Chad Drake
Credential
Provider Entity Type
Individual
Gender
Male
Address
625 Wham Dr, Carbondale, IL, 62901-4313
Phone Number
618-453-2361
Fax Number
618-453-6130
Provider Enumeration Date
11/17/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
071008612 01 IL DEPT. OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
625 Wham Dr
City
Carbondale
State
Illinois
Zip
62901-4313
Phone Number
618-453-2361
Fax Number
618-453-6130
person
Provider Business Mailing Address Details
Address
625 Wham Dr
City
Carbondale
State
Illinois
Zip
62901-4313
Phone Number
618-453-2361
Fax Number
618-453-6130
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Clinical
Taxonomy
103TC0700X
License No.
071008612 (Illinois)
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
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