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Individual

MR. BRIAN DOUGLAS BRISCOE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LPC-I, LCDC-I

Contact information

Practice address
2428 MEADOW PARK CIR APT 157A, BEDFORD, TX 76021-7718
(817) 907-6937
Mailing address
2428 MEADOW PARK CIR APT 157A, BEDFORD, TX 76021-7718
(817) 907-6937

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
64576
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
8222
TX

Other

Enumeration date
04/10/2010
Last updated
04/10/2010
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