Individual
DAVID S SISSAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6746 ETZEL AVE, UNIVERSITY CITY, MO 63130-2427
(314) 206-3900
Mailing address
2420 TEAKWOOD MANOR DR, FLORISSANT, MO 63031-4436
(314) 933-6046
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2025040327
MO
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
06/21/2021
Last updated
01/21/2026
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