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Individual
STEPHANIE NICHOL BRISCOE
Active
Individual
STEPHANIE NICHOL BRISCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LCMHCS NCC CTMH
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10549
NC
101YP2500X
Professional Counselor
Primary
10549
NC
101YP2500X
Professional Counselor
7645
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689097701
—
NC
Enumeration date
01/24/2014
Last updated
12/01/2021
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