Individual
MRS. CYNTHIA LEE KISSACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.ED.
Contact information
Practice address
615 N ELM ST, GRAND ISLAND, NE 68801-4254
(308) 395-1044
(308) 395-1060
Mailing address
615 N ELM ST, GRAND ISLAND, NE 68801-4254
(308) 395-1044
(308) 395-1060
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/22/2008
Last updated
01/22/2008
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