| Doctor Name: | DR. KIMBERLY CARNEGIE BRISCOE |
| NPI Number: | 1255649398 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PHD/DSW |
| License Number: | |
| Business Practice Address: | 5612 E 117th Ave Crown Point, IN - 46307 |
| Business Phone Number: | 2198142793 |
| Business Fax Number: | |
| Mailing Address: | 5612 E 117th Ave, CROWN POINT |
| State: | IN |
| Postal Code: | 463078681 |
| Phone Number: | 2188142793 |
| Fax Number: | |
| NPI Enumeration Date: | 09/23/2010 |
| NPI Last Update Date: | 09/23/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101Y00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | |
| Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |