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Individual

MR. MICHAEL DEAN BRAKEALL JR.

Active
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Individual

MR. MICHAEL DEAN BRAKEALL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCDC II

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
150053
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
162011
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.150053
OH
171M00000X
Case Manager/Care Coordinator
—
—

Other

Enumeration date
10/12/2017
Last updated
05/21/2024
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