Individual provider · Type 1 NPI
Jessica Renee Bisiak, CLINICIAN
Counselor · Pawtucket, RI
NPI number
1336444512
Active
Practice location
242 Dexter Street
Pawtucket, RI 02860-8218
Fax (401) 724-8899
Mailing address
9 Industrial Rd, Ste 5
Milford, MA 01757-3736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1336444512
Jessica Renee Bisiak, CLINICIAN's National Provider Identifier is 1336444512, issued on Jan 19, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Pawtucket, RI. The record was last updated on Feb 3, 2016.