Individual
MR. ANTHONY SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.P.C.
Contact information
Practice address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 778-0450
Mailing address
110 PEARSON, BENTON, AR 72015-4436
(501) 315-4224
(501) 778-0450
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
P0608044
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
274009719
—
AR
Enumeration date
02/22/2006
Last updated
01/08/2024
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