Individual provider · Type 1 NPI

John Paul Hissom

Addiction (Substance Use Disorder) Counselor · Charleston, WV

NPI number 1225634173 Active

Practice location

102 Patrick Street Plz
Charleston, WV 25387-2444

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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About NPI 1225634173

John Paul Hissom's National Provider Identifier is 1225634173, issued on Dec 7, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Charleston, WV. The record was last updated on Dec 7, 2020.