Individual
SHERRY L TISSAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
(701) 323-5626
Mailing address
1303 E CENTRAL AVE, BISMARCK, ND 58501-2066
(701) 323-5626
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPCC.0014894
CO
Other
Enumeration date
06/29/2016
Last updated
03/11/2019
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