Individual
JESSICA SIPES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PRSS
Contact information
Practice address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 202-1699
Mailing address
1303 WASHINGTON ST W, CHARLESTON, WV 25302-1333
(304) 202-1699
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
WV
Other
Enumeration date
07/18/2022
Last updated
07/18/2022
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