Individual provider · Type 1 NPI
Robert P. Wissore, LPC
Professional Counselor · Sikeston, MO
NPI number
1154462455
Active
Practice location
102 S Interstate Dr
Sikeston, MO 63801
Fax (573) 472-2937
Mailing address
Route 1 Box 28
Marquand, MO 63655
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 000577 (MO) |
Professional Counselor: Definition to come...
3 other providers at this address
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About NPI 1154462455
Robert P. Wissore, LPC's National Provider Identifier is 1154462455, issued on Feb 9, 2007. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Sikeston, MO. The record was last updated on Jul 8, 2007.