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NPI Profile for Dr TONYA DRAKE in VICKSBURG, MS.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Professional |
101YP2500X |
| NPI # | 1902474463 |
|
| Status | Active | |
| Credentials | DPC, LPC, NCC | |
| Entity | Individual | |
| Enumeration date | 06/11/2021 | |
| Last updated | 06/19/2021 - About 5 years ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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TONYA DRAKE
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TONYA DRAKE, DPC, LPC, NCC