| Doctor Name: | MS. LEANN MARIE BRAKKE |
| NPI Number: | 1770656118 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LPC, MS, NBCC |
| License Number: | 518 |
| Business Practice Address: | 1025 Montgomery Hwy Suite 203 Vestavia Hills, AL - 352162805 |
| Business Phone Number: | 2059790699 |
| Business Fax Number: | 2059790699 |
| Mailing Address: | 2310 Tanglewood Dr, VESTAVIA HILLS |
| State: | AL |
| Postal Code: | 352162426 |
| Phone Number: | 2059790699 |
| Fax Number: | 2059790699 |
| NPI Enumeration Date: | 11/15/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 518 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |