Individual
BRETT ASHLEY SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
49 OLIVE ST, GALLIPOLIS, OH 45631-1632
(740) 441-5809
Mailing address
49 OLIVE ST, GALLIPOLIS, OH 45631-1632
(740) 441-5809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106S00000X
Behavior Technician
—
—
Other
Enumeration date
01/18/2023
Last updated
06/24/2024
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