Individual
MRS. PATRICIA CORELLA BRACKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
TLPC
Contact information
Practice address
838 S WASHINGTON ST STE A, JUNCTION CITY, KS 66441-3826
(785) 226-0696
Mailing address
2121 BROOKE BND, JUNCTION CITY, KS 66441-1415
(785) 226-0696
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2282
KS
Other
Enumeration date
08/08/2011
Last updated
08/08/2011
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