Jessica Sisco, LPC

NPI #1205300134 in Logan, Ohio

Provider Information

NPI Number: 1205300134
Entity Type: Individual
Name: Jessica Sisco, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: LPC
Enumeration Date: Jan 14, 2019
Last Updated: Jan 27, 2021

Practice Location

Address: 541 SR 664 N
Address 2: SUITE C
City: Logan
State: Ohio
ZIP Code: 43138
Phone: (740) 385-6594

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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