Individual
JAMES RANDALL SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2501 W WICKENBURG WAY LOT 113, WICKENBURG, AZ 85390-1059
(928) 776-0623
Mailing address
2501 W WICKENBURG WAY LOT 113, WICKENBURG, AZ 85390-1059
(928) 776-0623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
22777
AZ
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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