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Contact Information

MICHELE D BRAKE, LPC
1101 E MONROE AVE
MCALESTER, OK74501-4815
 Phone: 918-470-0285
 Fax: 918-426-5837
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Professional

101YP2500X
Indicates primary specialty

NPI Profile & details for MICHELE D BRAKE · (Female)

NPI # 1639320971
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 10/06/2008
Last updated 10/24/2024 - More than a year ago
Sole proprietor 1 No
Identifiers
  • OK License # LPC05503
  • OK Medicaid 101YM0800X
  • OK Medicaid 163932071
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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