Organization · Type 2 NPI
Jessica Brake, Lpc, LLC
Professional Counselor · Roseburg, OR
NPI number
1578287090
Active
Practice location
2233 W Harvard Ave
Roseburg, OR 97471-2550
Mailing address
PO Box 1756
Roseburg, OR 97470-0420
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1578287090
Jessica Brake, Lpc, LLC's National Provider Identifier is 1578287090, issued on Sep 28, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Roseburg, OR. The record was last updated on Sep 28, 2022.