Individual
MR. JEFFREY DANIEL BRAKHAGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1610 HIGH ST APT 1, LEESBURG, FL 34748-4731
(907) 252-8445
Mailing address
1610 HIGH ST APT 1, LEESBURG, FL 34748-4731
(907) 252-8445
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
155471
AK
101YP2500X
Professional Counselor
Primary
155471
AK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1578175253
—
AK
Enumeration date
08/23/2020
Last updated
03/20/2026
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