MEDICARE: DEANNE R BRIGGS LPC, CAC III

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	ACC-6909	CO
2	101YM0800X	Mental Health Counselor	LPC-5192	CO
3	101YM0800X	Mental Health Counselor
4	221700000X	Art Therapist
5	101YM0800X	Mental Health Counselor	6401013468	MI

General Provider Information

NPI Number	:	1023227568
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DEANNE R BRIGGS LPC, CAC III

Provider Business Mailing Address
First Line	:	8931 HURON ST
Second Line	:
City	:	THORNTON
State	:	CO
Zip	:	80260-6806
Country	:	US
Telephone Number	:	303-853-3614
Fax Number	:

Provider Business Practice Location Address
First Line	:	1105 SIXTH ST
Second Line	:
City	:	TRAVERSE CITY
State	:	MI
Zip	:	49684-2386
Country	:	US
Telephone Number	:	231-935-6380
Fax Number	:	231-935-6920

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/22/2007
Last Update Date	:	08/29/2019

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