| Mr Jeffrey Daniel Brakhage, LPC | |
|
35477 Kenai Spur Hwy Ste 214, Soldotna, AK 99669-7642 | |
| (907) 671-6737 | |
| Not Available |
| Full Name | Mr Jeffrey Daniel Brakhage |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 35477 Kenai Spur Hwy Ste 214, Soldotna, Alaska |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578175253 | NPI | - | NPPES |
| 1578175253 | Medicaid | AK |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 155471 (Alaska) | Secondary |
| 101YP2500X | Counselor - Professional | 155471 (Alaska) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jeffrey Daniel Brakhage, LPC Po Box 3222, Soldotna, AK 99669-3222 Ph: (907) 671-6737 | Mr Jeffrey Daniel Brakhage, LPC 35477 Kenai Spur Hwy Ste 214, Soldotna, AK 99669-7642 Ph: (907) 671-6737 |
Nicholas Kolanach, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43335 K Beach Rd Ste 36, Soldotna, AK 99669 Phone: 907-262-6331 | |
Lora Jean Donaldson, LPC, CDCI Counselor Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy Ste 203, Blazy Mall, Soldotna, AK 99669 Phone: 907-260-2612 | |
Molly Gretchen Davis, LPC, MAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 198 W Marydale Ave, Soldotna, AK 99669 Phone: 907-741-1683 Fax: 907-741-1683 | |
Amy Dawn, Counselor Medicare: Not Enrolled in Medicare Practice Location: 230 E Marydale Ave, Soldotna, AK 99669 Phone: 907-262-3119 | |
Jimmy Ward, MS, MDIV Counselor Medicare: Not Enrolled in Medicare Practice Location: 35109 Royal Pl, Soldotna, AK 99669 Phone: 907-741-2725 Fax: 907-260-7427 | |
Lars Richard Russell, Counselor Medicare: Not Enrolled in Medicare Practice Location: 43335 K Beach Rd Ste 36, Soldotna, AK 99669 Phone: 907-262-6331 | |
Ms. Evelyn Louise Clough, ANP, CDCII Counselor Medicare: Not Enrolled in Medicare Practice Location: 44539 Sterling Hwy, Suite 105, Soldotna, AK 99669 Phone: 907-262-5324 Fax: 907-260-7464 |