Individual
CASSANDRA SISSOM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.C., L.C.P.C.
Contact information
Practice address
1063 S STATE ROUTE 157 STE 2-128, EDWARDSVILLE, IL 62025-3695
(618) 515-5890
(866) 423-9057
Mailing address
103 PINE HOLLOW LN, COLLINSVILLE, IL 62234-4784
(314) 479-4564
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2016036039
MO
Other
Enumeration date
06/02/2014
Last updated
08/23/2025
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