Individual
MR. MARK D SISSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
117 CHATHAM DR, DAYTON, OH 45429-1405
(937) 671-5656
Mailing address
117 CHATHAM DR FL 4, DAYTON, OH 45429-1405
(937) 671-5656
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
E.1700312-SUPV
OH
Other
Enumeration date
08/21/2014
Last updated
03/30/2020
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