Individual
LISA SISCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5004 S U ST STE 200, FORT SMITH, AR 72903-3600
(479) 888-8234
Mailing address
5004 S U ST STE 200, FORT SMITH, AR 72903-3600
(479) 888-8234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
P2105008
AR
101YP2500X
Professional Counselor
Primary
P2105008
AR
Other
Enumeration date
01/24/2017
Last updated
03/19/2026
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