Individual
EUGENE SISCO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CADC
Contact information
Practice address
2214 S MAYO TRL, PIKEVILLE, KY 41501-2297
(606) 262-0451
Mailing address
2214 S MAYO TRL, PIKEVILLE, KY 41501-2297
(606) 262-0451
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
278123
KY
Other
Enumeration date
12/11/2024
Last updated
12/11/2024
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