Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. GLEN S DRAKE, MA
Active Sole ProprietorMR. GLEN S DRAKE, MA is a Marriage & Family Therapist healthcare provider located in HARRISON, Idaho. NPI 1790815876 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · HARRISON, ID
Registration Details
- NPI Number
- 1790815876
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 6, 2007 (19.25236544761 yrs)
- Last Updated
- May 1, 2025
- License
-
LMFT6888 (ID)
- Sole Proprietor
- Yes
Practice Information
- Address
-
15050 E SUNSET SHORES CIRHARRISON, ID, 838338807Browse ID providers · Browse ZIP 83833
- Phone
- 5597313727
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.