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NPI Code Detail

MEDICARE: DR. JANE VAIR BISSLER PH.D., LPCC-S

MEDICARE: DR. JANE VAIR BISSLER PH.D., LPCC-S
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
1101YP2500XProfessional CounselorE2232SOH

General Provider Information

NPI Number : 1932380177
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JANE VAIR BISSLER PH.D., LPCC-S
Provider Business Mailing Address
First Line : 420 W MAIN ST
Second Line :
City : KENT
State : OH
Zip : 44240-2208
Country : US
Telephone Number : 330-677-2000
Fax Number : 330-548-0039
Provider Business Practice Location Address
First Line : 420 W MAIN ST
Second Line :
City : KENT
State : OH
Zip : 44240-2208
Country : US
Telephone Number : 330-677-2000
Fax Number : 330-548-0039
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/15/2007
Last Update Date : 11/15/2007

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Directions to “ DR. JANE VAIR BISSLER PH.D., LPCC-S” Practice Location

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