Individual
AICHA CISSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
(203) 613-4266
Mailing address
1325 QUINCY ST NE, WASHINGTON, DC 20017-2615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
109744-01
NY
Other
Enumeration date
08/07/2020
Last updated
08/07/2020
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