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Individual
CAROLINE BRISBOIS
Active
Individual
CAROLINE BRISBOIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC I/CRM II
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
24-06-11143
OR
101YA0400X
Addiction (Substance Use Disorder) Counselor
24-CRM-II-0229
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
500812211
—
OR
05
—
500812212
—
OR
Enumeration date
10/25/2022
Last updated
06/27/2024
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