Provider Demographics
NPI:1134424559
Name:DRAKE, ARLENE (LMFT)
Entity type:Individual
Prefix:
First Name:ARLENE
Middle Name:
Last Name:DRAKE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3001 LINDA LN
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90405-5810
Mailing Address - Country:US
Mailing Address - Phone:818-516-3013
Mailing Address - Fax:310-396-4064
Practice Address - Street 1:16311 VENTURA BLVD
Practice Address - Street 2:SUITE 960
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2124
Practice Address - Country:US
Practice Address - Phone:626-485-8486
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-14
Last Update Date:2025-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMF18824106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist