Individual
MR. JOHN CURLY BRISCO III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DOCTOR
Contact information
Practice address
49 S MARKET ST, PETERSBURG, VA 23803-4214
(804) 439-1212
Mailing address
1712 CARTER ST, RICHMOND, VA 23220-6906
(804) 439-1212
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0710103445
VA
Other
Enumeration date
04/26/2024
Last updated
04/26/2024
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