| Doctor Name: | STEPHANIE ALLISON DRAKE |
| NPI Number: | 1083899652 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, MA |
| License Number: | RC00059868 |
| Business Practice Address: | 547 Dayton St Edmonds, WA - 980203431 |
| Business Phone Number: | 4257715116 |
| Business Fax Number: | |
| Mailing Address: | 9210 Market Pl, A-203 EVERETT |
| State: | WA |
| Postal Code: | 982051552 |
| Phone Number: | 4254780368 |
| Fax Number: | |
| NPI Enumeration Date: | 01/02/2008 |
| NPI Last Update Date: | 01/02/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00059868 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |