Individual provider · Type 1 NPI

Kelly Sissom, MA, LPC

Professional Counselor · Cape Girardeau, MO

NPI number 1831536663 Active

Practice location

402 S Silver Springs Rd
Cape Girardeau, MO 63703-7536

Fax (573) 651-4345

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2013014935 (MO)

Professional Counselor: Definition to come...

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About NPI 1831536663

Kelly Sissom, MA, LPC's National Provider Identifier is 1831536663, issued on Jun 3, 2013. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Cape Girardeau, MO. The record was last updated on Sep 9, 2024.