Provider Demographics
NPI:1518449008
Name:DRAKE, ALLYSON ENGLAND (MED, CT)
Entity Type:Individual
Prefix:MS
First Name:ALLYSON
Middle Name:ENGLAND
Last Name:DRAKE
Suffix:
Gender:F
Credentials:MED, CT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10611 PATTERSON AVE STE 201
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23238-4733
Mailing Address - Country:US
Mailing Address - Phone:804-357-5924
Mailing Address - Fax:
Practice Address - Street 1:10611 PATTERSON AVE STE 201
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23238-4733
Practice Address - Country:US
Practice Address - Phone:804-308-0118
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-31
Last Update Date:2018-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
VAPPS0600618101YS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool
No101Y00000XBehavioral Health & Social Service ProvidersCounselor