MEDICARE: DEBORAH DRANE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	C.1300584	OH

General Provider Information

NPI Number	:	1104213248
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEBORAH DRANE

Provider Business Mailing Address
First Line	:	3333 WARRENSVILLE CENTER RD APT 305
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-3727
Country	:	US
Telephone Number	:	216-926-7129
Fax Number	:

Provider Business Practice Location Address
First Line	:	3333 WARRENSVILLE CENTER RD APT 305
Second Line	:
City	:	SHAKER HTS
State	:	OH
Zip	:	44122-3727
Country	:	US
Telephone Number	:	216-926-7129
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/15/2015
Last Update Date	:	04/15/2015

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Directions to “ DEBORAH DRANE ” Practice Location

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