Individual
MRS. JEANNETTE M BRISCOE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
3 OFFICE PARK CIR, SUITE 115, MOUNTAIN BRK, AL 35223-2510
(205) 912-2000
(205) 945-1890
Mailing address
3 OFFICE PARK CIR, SUITE 115, MOUNTAIN BRK, AL 35223-2510
(205) 912-2000
(205) 945-1890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0574C
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
012160
VALUE OPTIONS
AL
01
—
06160574C
PIP
AL
01
—
459564000
MAGELLAN
AL
01
—
51534635
AMERICAN BEHAVIORAL
AL
01
—
612133200
OWCP
AL
01
—
680638098
OTHER
AL
Enumeration date
12/14/2006
Last updated
08/29/2012
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