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1578287090
JESSICA BRAKE, LPC, LLC
ROSEBURG, OR
NPI
1578287090
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Entity Type
Organization
Authorized Contact
JESSICA BRAKE
Owner
541-670-2264
Organization Subpart ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
Enumeration Date
2022-09-28
Last Update Date
2022-09-28
Business Address
JESSICA BRAKE, LPC, LLC
2233 W HARVARD AVE
ROSEBURG, OR 97471-2550
Phone number: 541-704-8745
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Mailing Address
JESSICA BRAKE, LPC, LLC
PO BOX 1756
ROSEBURG, OR 97470-0420
Phone number: 541-670-2264
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