| Provider / Organization | NPI | Date Certified |
|---|---|---|
| ASHLEE ELIZABETH BRISENTINE | 1144661919 | 2023-11-12 |
Ashlee Elizabeth Brisentine is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1144661919. Registration indicates Ashlee Elizabeth Brisentine is a provider of services with a specialization in Behavioral Health & Social Service Providers, Marriage & Family Therapist (Marriage & Family Therapist, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Marriage & Family Therapist, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Mental Health, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Mental Health, Behavioral Health & Social Service Providers) (Counselor, )
| Entity Type | Individual |
| Provider Name | Mrs. Ashlee Elizabeth Brisentine LPC, M.S. |
| Other Provider Name | Ms. Ashlee Elizabeth Armstrong |
| Practice Office Address | 500 MAIN ST STE D SPRINGFIELD, OR US |
| Practice Office Telephone | 5412385771 |
| Practice Office Fax | 5413939869 |
| Mailing Address | 500 MAIN ST STE D SPRINGFIELD, OR 974775484 US |
| Business Telephone | 5417291930 |
| Business Fax | 5413939869 |
| Address | City / State | Phone / Fax |
|---|---|---|
| 240 Country Club Rd | Eugene, OR 974012479 | 5413437200 505 / 5413649300 |
| 66 Club Rd Ste 350 | Eugene, OR 974012599 | 5413431728 |
| Code | Practice | License No State |
|---|---|---|
| 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist Marriage & Family Therapist Behavioral Health/Substance Abuse/Psychiatry Marriage & Family Therapist Behavioral Health & Social Service Providers | |
| 101YM0800X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Counselor Behavioral Health & Social Service Providers Counselor Counselor: Mental Health Behavioral Health/Substance Abuse/Psychiatry Counselor Mental Health Behavioral Health & Social Service Providers Counselor | C4243
OR |