| Doctor Name: | MS. ELISE BRISSON |
| NPI Number: | 1184054538 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC-C |
| License Number: | XL4232 |
| Business Practice Address: | 14 Steve's Lane Machias, ME - 04654 |
| Business Phone Number: | 2072553426 |
| Business Fax Number: | |
| Mailing Address: | Po Box 956, MACHIAS |
| State: | ME |
| Postal Code: | 046540956 |
| Phone Number: | 2072553426 |
| Fax Number: | |
| NPI Enumeration Date: | 11/21/2013 |
| NPI Last Update Date: | 11/21/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | XL4232 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ME |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |