Individual
JENNIFER LYNN BRISSENDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
QMHA, CADC I
Contact information
Practice address
400 E MAIN ST STE 110, HILLSBORO, OR 97123-4163
(503) 640-9892
(503) 648-9732
Mailing address
6895 SW LARKSPUR PL, BEAVERTON, OR 97008-5131
(503) 430-0822
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
01/22/2007
Last updated
05/11/2011
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