Individual provider · Type 1 NPI

Mallory Sisson

Mental Health Counselor · Dixon, IL

NPI number 1790455673 Active

Practice location

325 Il Route 2
Dixon, IL 61021-9118

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1790455673

Mallory Sisson's National Provider Identifier is 1790455673, issued on Sep 14, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Dixon, IL. The record was last updated on Sep 14, 2021.