Individual
CHERYL DIANE SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ALC
Contact information
Practice address
122 CAMDEN CIR, MADISON, AL 35758-3610
(757) 214-4454
Mailing address
122 CAMDEN CIR, MADISON, AL 35758-3610
(757) 214-4454
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
ALC05724
AL
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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