Drake, Tonya

Drake, Tonya is an sole proprietor health care provider with primary practice located at 101 Southpark Dr , Vicksburg MS 39180-9784. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Drake, Tonya can be contacted via phone (601) 456-1669.

Contact Information

Primary practice address
101 Southpark Dr Vicksburg MS 39180-9784
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 2157 Mississippi

Profile Details

NPI number 1902474463
LBN Legal business name Drake, Tonya
Credentials DPC, LPC, NCC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2021
Last updated Jun 19th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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