Individual
MRS. SUSAN LESLIE SISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
689 PRICE GEE DR, MEHERRIN, VA 23954
(434) 390-2044
Mailing address
PO BOX 35, MEHERRIN, VA 23954-0035
(434) 390-2044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701005096
VA
101YM0800X
Mental Health Counselor
0701005096
VA
101YP2500X
Professional Counselor
0701005096
VA
Other
Enumeration date
12/02/2011
Last updated
12/02/2011
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