Mr Glen S Drake, MA is a
Marriage & Family Therapist based in Harrison, Idaho. Mr Glen S Drake is licensed to practice in Idaho (license number LMFT6888) and his current practice location is
15050 E Sunset Shores Cir, Harrison, Idaho. He can be reached at his office (for appointments etc.) via phone at
(559) 731-3727.
NPI number for Mr Glen S Drake is 1790815876 and his current mailing address is 15050 E Sunset Shores Cir, Harrison, Idaho. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1790815876.
Healthcare Provider's Profile
Full Name | Mr Glen S Drake |
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Gender | Male |
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Speciality | Marriage & Family Therapist |
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Location | 15050 E Sunset Shores Cir, Harrison, Idaho |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1790815876
- Provider Enumeration Date: 03/06/2007
- Last Update Date: 05/01/2025
Medical Identifiers
Medical identifiers for Mr Glen S Drake such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1790815876 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
106H00000X | Marriage & Family Therapist | LMFT6888 (Idaho) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Glen S Drake is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mr Glen S Drake, MA 15050 E Sunset Shores Cir, Harrison, ID 83833-8807 Ph: (559) 731-3727 | Mr Glen S Drake, MA 15050 E Sunset Shores Cir, Harrison, ID 83833-8807 Ph: (559) 731-3727 |
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