Individual
MR. RONALD MITCHELL BRIZENDINE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
#6 SIXTH STREET SUITE 205, BRISTOL, TN 37620
(423) 968-2225
(423) 968-2225
Mailing address
629 TAYLOR ST, BRISTOL, TN 37620
(423) 968-2225
(423) 968-2225
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0000595
TN
1041C0700X
Clinical Social Worker
0904002972
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
099441
BCBS OF VA
—
05
—
8906416
—
VA
Enumeration date
06/27/2006
Last updated
07/08/2007
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