Individual
MRS. MICHELE DEANN BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1101 E MONROE AVE, MCALESTER, OK 74501-4815
(918) 470-0285
(918) 426-5837
Mailing address
1127 S GEORGE NIGH EXPY, MCALESTER, OK 74501-7143
(918) 423-8440
(918) 421-2936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC05503
OK
101YP2500X
Professional Counselor
LPC05503
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101YM0800X
—
OK
05
—
163932071
—
OK
Enumeration date
10/06/2008
Last updated
10/24/2024
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