Individual
SHAWN KENNETH BRISBANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2627 MURRAY AVE, PITTSBURGH, PA 15217-2418
(724) 366-6390
Mailing address
283 S GREENGATE RD, GREENSBURG, PA 15601-7469
(724) 366-6390
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/05/2017
Last updated
07/05/2017
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