person
Mr. Jeffrey Daniel Brakhage, LPC
Professional Counselor in Soldotna, Alaska
NPI 1578175253

Jeffrey Daniel Brakhage is a Professional Counselor based in Soldotna, AK and is specialized in Professional. Jeffrey Daniel Brakhage practices in Soldotna, AK and has the professional credentials of LPC. The NPI Number for Jeffrey Daniel Brakhage is 1578175253 and holds a License No. 155471 (Alaska).

The current practice location address for Jeffrey Daniel Brakhage is 35477 Kenai Spur Hwy Ste 214, Soldotna, AK and can be reached out via phone at 907-671-6737. You can also correspond with Jeffrey Daniel Brakhage through the mailing address at PO BOX 3222, SOLDOTNA, AK - 99669-3222 (mailing address contact number: 907-671-6737).

Location: 35477 Kenai Spur Hwy Ste 214, Soldotna, AK, 99669-3222
person
Provider Profile Details
NPI Number
1578175253
Provider Name
Jeffrey Daniel Brakhage
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
35477 Kenai Spur Hwy Ste 214, Soldotna, AK, 99669-3222
Phone Number
907-671-6737
Fax Number
Provider Enumeration Date
08/23/2020
Last Update Date
03/10/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
1578175253 05 AK
institution
Provider Business Practice Location Address Details
Address
35477 Kenai Spur Hwy Ste 214
City
State
Zip
99669-7642
Phone Number
907-671-6737
Fax Number
person
Provider Business Mailing Address Details
Address
35477 Kenai Spur Hwy Ste 214
City
State
Zip
99669-7642
Phone Number
907-671-6737
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
155471 (Alaska)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
155471 (Alaska)
Definition
Definition to come...
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