Kelly Sisowath is a Counselor based in Fresno, CA. Kelly Sisowath practices in Fresno, CA. The NPI Number for Kelly Sisowath is 1568076651 and holds a License No. (California).
The current practice location address for Kelly Sisowath is 258 N Blackstone Ave, Fresno, CA and can be reached out via phone at 559-274-0299.
Location: 258 N Blackstone Ave, Fresno, CA, 93701-1913
Provider Profile Details
NPI Number
1568076651
Provider Name
Kelly Sisowath
Credential
Provider Entity Type
Individual
Gender
Female
Address
258 N Blackstone Ave, Fresno, CA, 93701-1913
Phone Number
559-274-0299
Fax Number
Provider Enumeration Date
09/04/2020
Last Update Date
03/10/2024
Provider Business Practice Location Address Details
Address
258 N Blackstone Ave
City
State
Zip
93701-1913
Phone Number
559-274-0299
Fax Number
Provider Business Mailing Address Details
Address
258 N Blackstone Ave
City
State
Zip
93701-1913
Phone Number
559-274-0299
Fax Number
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
License No.
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Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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