Individual
SISSILLI EVANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
910 COOK ROAD, ORANGBURG, SC 29118
(803) 536-4900
(803) 536-4980
Mailing address
910 COOK ROAD, ORANGBURG, SC 29118
(803) 536-4900
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
06/10/2015
Last updated
06/10/2015
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