MRS. Jessica Renee Bisiak, CLINICIAN

NPI #1336444512 in Pawtucket, Rhode Island

Provider Information

NPI Number: 1336444512
Entity Type: Individual
Name: MRS. Jessica Renee Bisiak, CLINICIAN
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: CLINICIAN
Enumeration Date: Jan 19, 2011
Last Updated: Feb 3, 2016

Practice Location

Address: 242 DEXTER STREET
City: Pawtucket
State: Rhode Island
ZIP Code: 02860-8218
Phone: (401) 215-6518

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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