Individual
JENNIFER J SISSEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CO 60925500
Contact information
Practice address
1305 MANSFIELD ST STE 6, RICHLAND, WA 99352-3588
(509) 942-1624
(509) 943-1829
Mailing address
1305 MANSFIELD ST STE 6, RICHLAND, WA 99352-3588
(509) 942-1624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60925500
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61132895
WA
Other
Enumeration date
04/01/2019
Last updated
02/02/2023
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