Provider Demographics
NPI:1346067139
Name:DRAKE, ALYSSA CLAIRE (MA, NCC)
Entity type:Individual
Prefix:MISS
First Name:ALYSSA
Middle Name:CLAIRE
Last Name:DRAKE
Suffix:
Gender:F
Credentials:MA, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:411 E MAIN ST
Mailing Address - Street 2:
Mailing Address - City:MECHANICSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17055-6514
Mailing Address - Country:US
Mailing Address - Phone:717-610-2988
Mailing Address - Fax:
Practice Address - Street 1:411 E MAIN ST
Practice Address - Street 2:
Practice Address - City:MECHANICSBURG
Practice Address - State:PA
Practice Address - Zip Code:17055-6514
Practice Address - Country:US
Practice Address - Phone:717-610-2988
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-23
Last Update Date:2024-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty