Jon Drake, AUD

NPI 1124337803 · on the registry since 2010 · sole proprietor

Practice

Address: 7001 Prospect Pl Ne
Albuquerque, NM 87110
Phone: (505) 764-0036
Fax: (505) 764-0446
Organisation at this address: High Desert Family Services
High Desert Family Services, Inc.
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 7

Registry record

Primary taxonomy: 237600000X
237600000X
Licence states on file: TX
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2020-01-23

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Mexico