Individual provider · Type 1 NPI

Purcell Sisto, QMHP, CADC-II

Mental Health Counselor · Salem, OR

NPI number 1972278158 Active

Practice location

565 Union St NE Ste 105
Salem, OR 97301-2416

Call (503) 540-5554 Map

Mailing address

PO Box 17818
Salem, OR 97305-7818

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XT-20-506 (OR)
Addiction (Substance Use Disorder) Counselor 101YA0400X22-05-10407 (OR)
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1972278158

Purcell Sisto, QMHP, CADC-II's National Provider Identifier is 1972278158, issued on Aug 10, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Salem, OR. The record was last updated on Jan 30, 2025.