Individual
HEATHER SISSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
401 E BROADWAY CT, SAND SPRINGS, OK 74063-7939
(918) 245-5565
Mailing address
401 E BROADWAY CT, SAND SPRINGS, OK 74063-7939
(918) 245-5565
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
7447-1
OK
Other
Enumeration date
01/27/2016
Last updated
09/06/2023
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