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
Phone: (601) 456-1669
Fax:
Website:
Health care specialties
| Specialty | Code | License # | 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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