Eriksson Brioso
Individual provider Active NPI Mental Health Counselor · Mount Shasta, CA
NPI 1114479797 · NPPES record last updated Oct 28, 2016
Key facts
- NPI
- 1114479797
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- Practice address
- 301 Chestnut St
Mount Shasta, CA 96067-2214 - Phone
- (530) 926-1436
- Fax
- (530) 926-2305
- NPI assigned
- Oct 28, 2016
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Yes |
Addresses
Primary practice location
301 Chestnut St
Mount Shasta, CA 96067-2214
Mailing address
301 Chestnut St
Mount Shasta, CA 96067-2214
Phone (530) 926-1436
Other providers in Mount Shasta, CA
- Lorena Borella-Clements
- Jaime Bottoms
- Norman Bowers
- Donna Bringenberg
- Carolyn Briody
- Duane Thomas Brooks
- Nicholas Patrick Brown
- Robert C Brucker
- Christopher James Brunell
- Sophia Mishelle Bullington
All providers in Mount Shasta, CA · Mental Health Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 28, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.