Provider Demographics
NPI:1871570515
Name:BRISCOE, BARBARA (MS, MFT)
Entity type:Individual
Prefix:MS
First Name:BARBARA
Middle Name:
Last Name:BRISCOE
Suffix:
Gender:F
Credentials:MS, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2830 I ST
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-4311
Mailing Address - Country:US
Mailing Address - Phone:916-497-1449
Mailing Address - Fax:
Practice Address - Street 1:2830 I ST
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-4311
Practice Address - Country:US
Practice Address - Phone:916-497-1449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-12-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
170300000X
CA32344106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered170300000XOther Service ProvidersGenetic Counselor, MS
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist