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Organization
ILEANA SISSON COUNSELING & CONSULTING
Active
Organization
ILEANA SISSON COUNSELING & CONSULTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ILEANA SISSON MS PHD (LICENSED PSYCHOTHERAPIST)
(239) 464-9022
Entity
Organization
Contact information
Practice address
1342 COLONIAL BLVD, BUILDING F, SUITE 41A, FORT MYERS, FL 33907-1013
(239) 464-9022
Mailing address
5395 ANCHORAGE DR, SAINT JAMES CITY, FL 33956-3052
(239) 283-6140
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
2477
FL
101YM0800X
Mental Health Counselor
Primary
2477
FL
102L00000X
Psychoanalyst
2477
FL
103TA0700X
Adult Development & Aging Psychologist
2477
FL
103TE1100X
Exercise & Sports Psychologist
2477
FL
103TH0100X
Health Service Psychologist
2477
FL
103TP2701X
Group Psychotherapy Psychologist
2477
FL
106H00000X
Marriage & Family Therapist
2477
FL
133N00000X
Nutritionist
2477
FL
133NN1002X
Nutrition Education Nutritionist
2477
FL
172V00000X
Community Health Worker
2477
FL
174H00000X
Health Educator
2477
FL
175F00000X
Naturopath
2477
FL
175L00000X
Homeopath
2477
FL
2083P0901X
Public Health & General Preventive Medicine Physician
2477
FL
Other
Enumeration date
06/15/2014
Last updated
06/15/2014
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