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Jason Lee Brake
Peer Specialist in Mcalester, Oklahoma
NPI 1306546759

Jason Lee Brake is a Peer Specialist based in Mcalester, OK. Jason Lee Brake practices in Mcalester, OK. The NPI Number for Jason Lee Brake is 1306546759 and holds a License No. (Oklahoma).

The current practice location address for Jason Lee Brake is 1101 E Monroe Ave, Mcalester, OK and can be reached out via phone at 918-426-7800.

Location: 1101 E Monroe Ave, Mcalester, OK, 74501-4826
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1306546759
Provider Name
Jason Lee Brake
Credential
Provider Entity Type
Individual
Gender
Male
Address
1101 E Monroe Ave, Mcalester, OK, 74501-4826
Phone Number
918-426-7800
Fax Number
Provider Enumeration Date
03/06/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1101 E Monroe Ave
City
Mcalester
State
Oklahoma
Zip
74501-4826
Phone Number
918-426-7800
Fax Number
person
Provider Business Mailing Address Details
Address
1101 E Monroe Ave
City
Mcalester
State
Oklahoma
Zip
74501-4826
Phone Number
918-426-7800
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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