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NPI Code Detail

MEDICARE: MR. MICHAEL EDWARD DRAG LPC

MEDICARE:  MR. MICHAEL EDWARD DRAG  LPC
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
1101YP2500XProfessional CounselorPC009971PA

General Provider Information

NPI Number : 1972016525
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. MICHAEL EDWARD DRAG LPC
Provider Business Mailing Address
First Line : 1442 RAINER RD
Second Line :
City : BROOKHAVEN
State : PA
Zip : 19015-1940
Country : US
Telephone Number : 484-441-3379
Fax Number :
Provider Business Practice Location Address
First Line : 1442 RAINER RD
Second Line :
City : BROOKHAVEN
State : PA
Zip : 19015-1940
Country : US
Telephone Number : 484-441-3379
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2017
Last Update Date : 03/17/2018

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Directions to “ MR. MICHAEL EDWARD DRAG LPC” Practice Location

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