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Burnett L Brake, PRSS
Peer Specialist in Charleston, West Virginia
NPI 1801509997

Burnett L Brake is a Peer Specialist based in Charleston, WV. Burnett L Brake practices in Charleston, WV and has the professional credentials of PRSS. The NPI Number for Burnett L Brake is 1801509997 and holds a License No. (West Virginia).

The current practice location address for Burnett L Brake is 1511 Washington St E, Charleston, WV and can be reached out via phone at 304-741-7106.

Location: 1511 Washington St E, Charleston, WV, 25387-2533
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Provider Profile Details
NPI Number
1801509997
Provider Name
Burnett L Brake
Credential
PRSS
Provider Entity Type
Individual
Gender
Male
Address
1511 Washington St E, Charleston, WV, 25387-2533
Phone Number
304-741-7106
Fax Number
Provider Enumeration Date
01/04/2023
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
175T00000X 05 WV
institution
Provider Business Practice Location Address Details
Address
1511 Washington St E
City
State
Zip
25311-2505
Phone Number
304-741-7106
Fax Number
person
Provider Business Mailing Address Details
Address
1511 Washington St E
City
State
Zip
25311-2505
Phone Number
304-741-7106
Fax Number
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Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
License No.
(West Virginia)
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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