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Contact Information

JEFFREY D BRAKHAGE, LPC
1610 HIGH ST APT 1
LEESBURG, FL34748-4731
 Phone: 907-252-8445
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Professional

101YP2500X
 

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for JEFFREY D BRAKHAGE · (Male)

NPI # 1578175253
Status Active
Credentials LPC (Licensed Professional Counselor)
Entity Individual
Enumeration date 08/23/2020
Last updated 03/20/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • AK License # 155471
  • AK Medicaid 1578175253
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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