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Jessica L Brake, MS
Professional Counselor in Roseburg, Oregon
NPI 1235412735

Jessica L Brake is a Professional Counselor based in Roseburg, OR and is specialized in Professional. Jessica L Brake practices in Roseburg, OR and has the professional credentials of MS. The NPI Number for Jessica L Brake is 1235412735 and holds a License No. C3280 (Oregon).

The current practice location address for Jessica L Brake is 2233 W Harvard Ave, Roseburg, OR and can be reached out via phone at 541-670-2264.

Location: 2233 W Harvard Ave, Roseburg, OR, 97470-0420
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1235412735
Provider Name
Jessica L Brake
Credential
MS
Provider Entity Type
Individual
Gender
Female
Address
2233 W Harvard Ave, Roseburg, OR, 97470-0420
Phone Number
541-670-2264
Fax Number
Provider Enumeration Date
09/21/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2233 W Harvard Ave
City
Roseburg
State
Oregon
Zip
97471-2550
Phone Number
541-670-2264
Fax Number
person
Provider Business Mailing Address Details
Address
2233 W Harvard Ave
City
Roseburg
State
Oregon
Zip
97471-2550
Phone Number
541-670-2264
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
C3280 (Oregon)
Definition
Definition to come...
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