Jade M Brake, TLMLP

NPI #1487149522 in Ottawa, Kansas

Provider Information

NPI Number
1487149522
Entity Type
Individual
Name
Jade M Brake, TLMLP
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Credential
TLMLP
Enumeration Date
Jun 29, 2018
Last Updated
Jun 29, 2018

Practice Location

Address
2537 EISENHOWER RD
City
Ottawa
State
Kansas
ZIP Code
66067-9482
Phone
(785) 242-3780

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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