Individual
MOLLY BRAKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3724 JEFFERSON ST, SUITE 200, AUSTIN, TX 78731-6225
(512) 663-7135
Mailing address
3724 JEFFERSON ST, SUITE 200, AUSTIN, TX 78731-6225
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
202087
TX
Other
Enumeration date
07/12/2016
Last updated
07/12/2016
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