Jessica Brake, Lpc, Llc

LBN: Jessica Brake, Lpc, Llc
Jessica Brake, Lpc, Llc is an health care organization with primary practice located at 2233 W Harvard Ave , Roseburg OR 97471-2550. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Jessica Brake, Lpc, Llc can be contacted via phone (541) 704-8745, or through Brake, Jessica via phone (541) 670-2264.

Contact Information

Primary practice address
2233 W Harvard Ave Roseburg OR 97471-2550
Phone: (541) 704-8745
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Brake, Jessica Licensed Professional Counselor (LPC)
Phone: (541) 670-2264

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1578287090
LBN Legal business name Jessica Brake, Lpc, Llc
DBA Doing business as
Authorized official Brake, Jessica Licensed Professional Counselor (LPC)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 28th, 2022
Last updated Sep 28th, 2022 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1578287090 NPPES
Oregon MEDICAID 500663462

Popular Providers