Individual provider · Type 1 NPI

Cynthia Lynn Sissom, LADC

Addiction (Substance Use Disorder) Counselor · Sapulpa, OK

NPI number 1982845053 Active

Practice location

316 E Lee Ave
Sapulpa, OK 74066-4306

Call (918) 227-9890 Map

Mailing address

PO Box 927
Sapulpa, OK 74067-0927

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X669 (OK)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1982845053

Cynthia Lynn Sissom, LADC's National Provider Identifier is 1982845053, issued on Mar 18, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sapulpa, OK. The record was last updated on Mar 18, 2009.