Provider Demographics
NPI:1891235297
Name:FRIERSON-BRISCOE, RENEE DARCELL (LPC, LMFT)
Entity type:Individual
Prefix:MS
First Name:RENEE
Middle Name:DARCELL
Last Name:FRIERSON-BRISCOE
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6030 N 2ND ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19120-1901
Mailing Address - Country:US
Mailing Address - Phone:267-971-2615
Mailing Address - Fax:215-549-3093
Practice Address - Street 1:7900 OLD YORK RD STE 114A
Practice Address - Street 2:
Practice Address - City:ELKINS PARK
Practice Address - State:PA
Practice Address - Zip Code:19027-2324
Practice Address - Country:US
Practice Address - Phone:267-259-4141
Practice Address - Fax:215-277-7992
Is Sole Proprietor?:Yes
Enumeration Date:2017-03-03
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMF001369106H00000X
PAPC009397101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist