MEDICARE: SHADOW & CHOCOLATE CONSULTING BY KRISTINE DRAKE

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	104100000X	Social Worker

General Provider Information

NPI Number	:	1801788427
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	SHADOW & CHOCOLATE CONSULTING BY KRISTINE DRAKE

Provider Business Mailing Address
First Line	:	3391 APPLE CROSS PL
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-3714
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3391 APPLE CROSS PL
Second Line	:
City	:	LAS CRUCES
State	:	NM
Zip	:	88005-3714
Country	:	US
Telephone Number	:	575-635-2544
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KRISTINE DRAKE
Credential	:
Telephone Number	:	575-635-2544

Provider Enumeration Date	:	07/17/2025
Last Update Date	:	07/17/2025

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