| Doctor Name: | MRS. JEANNETTE M BRISCOE |
| NPI Number: | 1134281678 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 0574C |
| Business Practice Address: | 3 Office Park Cir Suite 115 Mountain Brk, AL - 352232510 |
| Business Phone Number: | 2059122000 |
| Business Fax Number: | 2059451890 |
| Mailing Address: | 3 Office Park Cir, Suite 115 MOUNTAIN BRK |
| State: | AL |
| Postal Code: | 352232510 |
| Phone Number: | 2059122000 |
| Fax Number: | 2059451890 |
| NPI Enumeration Date: | 12/14/2006 |
| NPI Last Update Date: | 08/29/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 0574C |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | AL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |