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Individual

DR. JANE F BRAKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
535 W 2ND ST, STE 207, LEXINGTON, KY 40508-1268
(859) 255-4864
(859) 255-5385
Mailing address
535 W 2ND ST, STE 207, LEXINGTON, KY 40508-1268
(859) 255-4864
(859) 255-5385

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
714
KY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24572
UNITED HEALTHCARE
KY
01
3076
CHA, INC.
KY
01
81717
CIGNA
KY
01
M128
ANTHEM
KY
Enumeration date
06/16/2005
Last updated
10/07/2010
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