Individual
KATIE MAE BRAKEFIELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CMII & LPC UNDER SUP
Contact information
Practice address
1213 SE 16TH TER, NEWCASTLE, OK 73065-6039
(405) 250-7612
Mailing address
1213 SE 16TH TER, NEWCASTLE, OK 73065-6039
(405) 250-7612
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
07/18/2013
Last updated
05/05/2014
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