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Provider Information for 1134424559


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ARLENE DRAKE LMFT


Sex: Female

NPI: 1134424559
Last Updated: 2025-01-07
Certification Date: 2025-01-07

Details

NameValue
NPI1134424559
Enumeration Date2011-01-14
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 3001 LINDA LN
SANTA MONICA, CA 90405-5810
United States

Phone: 818-516-3013 | Fax:310-396-4064
 
Primary Practice Address 16311 VENTURA BLVD
SUITE 960
ENCINO, CA 91436-2124
United States

Phone: 626-485-8486 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 106H00000X - Marriage & Family Therapist CAMF18824