person
Madeline Elizabeth Brisceno
Mental Health Counselor in San Diego, California
NPI 1033885496

Madeline Elizabeth Brisceno is a Mental Health Counselor based in San Diego, CA and is specialized in Mental Health. Madeline Elizabeth Brisceno practices in San Diego, CA. The NPI Number for Madeline Elizabeth Brisceno is 1033885496 and holds a License No. (California).

The current practice location address for Madeline Elizabeth Brisceno is 3340 Kemper St Ste 105, San Diego, CA and can be reached out via phone at 619-523-8121 and via fax at 619-523-8742.

Location: 3340 Kemper St Ste 105, San Diego, CA, 92111-3635
person
Provider Profile Details
NPI Number
1033885496
Provider Name
Madeline Elizabeth Brisceno
Credential
Provider Entity Type
Individual
Gender
Female
Address
3340 Kemper St Ste 105, San Diego, CA, 92111-3635
Phone Number
619-523-8121
Fax Number
619-523-8742
Provider Enumeration Date
08/17/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
373781 05 CA
institution
Provider Business Practice Location Address Details
Address
3340 Kemper St Ste 105
City
State
Zip
92110-4907
Phone Number
619-523-8121
Fax Number
619-523-8742
person
Provider Business Mailing Address Details
Address
3340 Kemper St Ste 105
City
State
Zip
92110-4907
Phone Number
619-523-8121
Fax Number
619-523-8742
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
140871 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
License No.
(California)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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