National Provider Identifier
Amy Drake
Amy Drake is listed in the NPPES registry with a primary specialty of Addiction (Substance Use Disorder) Counselor in Coburg, OR and a listed phone number of (541) 687-1110.
Source: public NPPES record, last updated August 27, 2021. This profile is informational and is not medical advice, a quality rating, or a provider recommendation.
Profile Overview
- NPI
- 1316614191
- Provider Type
- Individual
- Primary Specialty
- Addiction (Substance Use Disorder) Counselor
- Enumeration Date
- August 27, 2021
- Last Updated
- August 27, 2021
Practice Location
- 1 Serenity Ln
- Coburg, OR 97408-9350
Phone: (541) 687-1110
Mailing Address
- 2050 Goodpasture Loop Apt 141
- Eugene, OR 97401-1562
Specialties
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
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Biography
Amy Drake is a Coburg, Oregon addiction counselor affiliated with Serenity Lane, a nonprofit substance-use treatment provider. Her practice is connected with Serenity Lane’s Coburg residential treatment center, which offers detox, inpatient residential care, and support for co-occurring mental health needs.
Full Record
- NPI
- 1316614191
- Entity Type
- Individual
- Last Name
- Drake
- First Name
- Amy
- Mailing Street Address
- 2050 Goodpasture Loop Apt 141
- Mailing City
- Eugene
- Mailing State
- OR
- Mailing ZIP Code
- 97401-1562
- Mailing Country
- US
- Practice Street Address
- 1 Serenity Ln
- Practice City
- Coburg
- Practice State
- OR
- Practice ZIP Code
- 97408-9350
- Practice Country
- US
- Practice Phone
- (541) 687-1110
- Enumeration Date
- August 27, 2021
- Last Updated
- August 27, 2021
- Sex
- Female
- Sole Proprietor
- Yes
- Certification Date
- August 27, 2021
- Taxonomies
- Addiction (Substance Use Disorder) Counselor (101YA0400X)
- Other Identifiers
- T-21-1008 (OR)