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NPI Code Detail

MEDICARE: SISSON COUNSELING SERVICES, LLC

MEDICARE: SISSON COUNSELING SERVICES, LLC
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
1101Y00000XCounselor

General Provider Information

NPI Number : 1225507486
Entity Type Code : Organization
Provider Name (Legal Business Name) : SISSON COUNSELING SERVICES, LLC
Provider Business Mailing Address
First Line : 3724 CUMBERLAND TRCE
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35242-3004
Country : US
Telephone Number : 205-585-7766
Fax Number :
Provider Business Practice Location Address
First Line : 2305 ARLINGTON AVE S
Second Line :
City : BIRMINGHAM
State : AL
Zip : 35205-4111
Country : US
Telephone Number : 205-585-7766
Fax Number :
Authorized Official
Title or Position : COUNSELOR
Name : DONNA L SISSON
Credential : LPC, LMFT
Telephone Number : 205-585-7766
Provider Enumeration Date : 11/17/2018
Last Update Date : 11/17/2018

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