Doctor Name: | MS. BEVERLY JOANN BRISBINE |
NPI Number: | 1750491627 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMHC, CMHS |
License Number: | LH00008921 |
Business Practice Address: | 2091 Highland Dr Camano Island, WA - 982828342 |
Business Phone Number: | 3603879443 |
Business Fax Number: | |
Mailing Address: | 2091 Highland Dr, CAMANO ISLAND |
State: | WA |
Postal Code: | 982828342 |
Phone Number: | 3603879443 |
Fax Number: | |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | LH00008921 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |