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Individual

JONATHAN SAMUEL BRISENO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
151 EVERETT AVE, CHELSEA, MA 02150-1807
(617) 889-8515
Mailing address
76 SUMNER ST, BOSTON, MA 02128-2319
(956) 775-4106

Taxonomy

Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY10001791
MA
390200000X
Student in an Organized Health Care Education/Training Program

Other

Enumeration date
05/19/2020
Last updated
03/13/2026
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