Provider Demographics
NPI:1528024429
Name:BRISCOE, BARBARA ANN (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:ANN
Last Name:BRISCOE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 142066
Mailing Address - Street 2:
Mailing Address - City:SPOKANE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:99214-2000
Mailing Address - Country:US
Mailing Address - Phone:509-466-0772
Mailing Address - Fax:509-892-3819
Practice Address - Street 1:11207 E BROADWAY AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:99206-5009
Practice Address - Country:US
Practice Address - Phone:509-466-0772
Practice Address - Fax:509-892-3819
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004222101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health