Individual
MELISSA BRISENO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
802 E CRESTWOOD DR, VICTORIA, TX 77901-3309
(361) 576-4673
Mailing address
802 E CRESTWOOD DR, VICTORIA, TX 77901-3309
(361) 576-4673
(361) 576-6557
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
12370
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12370
TEXAS DEPARTMENT OF STATE AND HEALTH SERVICES
TX
Enumeration date
06/18/2015
Last updated
01/15/2026
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