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Individual
JENNIFER J SISSEL
Active
Individual
JENNIFER J SISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO 60925500
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60925500
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61132895
WA
Other
Enumeration date
04/01/2019
Last updated
02/02/2023
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