Provider Demographics
NPI:1255738944
Name:BRAZELL, JAMIE Z (MED, LMFT, CST)
Entity type:Individual
Prefix:
First Name:JAMIE
Middle Name:Z
Last Name:BRAZELL
Suffix:
Gender:F
Credentials:MED, LMFT, CST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 ZILLICOA ST STE 3
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28801-1063
Mailing Address - Country:US
Mailing Address - Phone:828-333-4907
Mailing Address - Fax:828-412-3257
Practice Address - Street 1:19 ZILLICOA ST STE 3
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1063
Practice Address - Country:US
Practice Address - Phone:828-333-4907
Practice Address - Fax:828-412-3257
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-25
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1681106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist