Individual provider · Type 1 NPI
John Curly Brisco Iii, DOCTOR
Addiction (Substance Use Disorder) Counselor · Petersburg, VA
NPI number
1265288500
Active
Practice location
49 S Market St
Petersburg, VA 23803-4214
Mailing address
1712 Carter St
Richmond, VA 23220-6906
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 0710103445 (VA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1265288500
John Curly Brisco Iii, DOCTOR's National Provider Identifier is 1265288500, issued on Apr 26, 2024. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Petersburg, VA. The record was last updated on Apr 26, 2024.