Chad Drake
Chad Drake is a Clinical Psychologist in Carbondale, Illinois. Licensed in Illinois. Registered with an NPI since 2015.
- Licensed in
- IL
- In the registry since
- 2015
Practice location Address checks out
625 Wham Dr Rm 141Carbondale, IL 62901-4313
Phone: (618) 453-2361
Fax: (618) 453-6130
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 071008612 (IL) |
|---|
Record details
| NPI number | 1891169629 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | November 17, 2015 |
| Last updated in NPPES | November 17, 2015 |
| Mailing address | 625 Wham Dr, Room 141, Carbondale, IL 62901-4313 |
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Dr. Jeffrey Saunders Kellogg, PSYD
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Sarah Kertz, PHD
625 Wham Dr Rm 141, Carbondale, IL 62901-4313 · (618) 453-2361