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CHRISTINA BRISENO

>> Case Manager/Care Coordinator >> Other Service Providers

Registrant NPI Number: 1861961013

Individual Registrant:
 CHRISTINA  BRISENO 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
675 1ST ST  UPPER LAKE, CA 95485-9586 US
Tel: 707-275-0506  Fax: --

Contact information for business:
PO BOX 2077  UKIAH, CA 95482-2077 US
Tel: 707-467-2010  Fax: --

Registration Information:
NPI: 1861961013
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N171M00000XOther Service Providers
Case Manager/Care Coordinator
Y101Y00000XBehavioral Health & Social Service Providers
Counselor

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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