person
Charles William Cissna, LPCA
Addiction (Substance Use Disorder) Counselor in Bowling Green, Kentucky
NPI 1639249311

Charles William Cissna is an Addiction (Substance Use Disorder) Counselor based in Horse Cave, KY and is specialized in Addiction (Substance Use Disorder). Charles William Cissna practices in Bowling Green, KY and has the professional credentials of LPCA. The NPI Number for Charles William Cissna is 1639249311 and holds a License No. 0197 (Kentucky).

The current practice location address for Charles William Cissna is 822 Woodway St, Bowling Green, KY and can be reached out via phone at 270-901-5000 and via fax at 270-842-5268.

Location: 822 Woodway St, Bowling Green, KY, 42749-1210
person
Provider Profile Details
NPI Number
1639249311
Provider Name
Charles William Cissna
Credential
LPCA
Provider Entity Type
Individual
Gender
Male
Address
822 Woodway St, Bowling Green, KY, 42749-1210
Phone Number
270-901-5000
Fax Number
270-842-5268
Provider Enumeration Date
11/09/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60604011 05 KY
institution
Provider Business Practice Location Address Details
Address
822 Woodway St
City
State
Zip
42101-2771
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider Business Mailing Address Details
Address
822 Woodway St
City
State
Zip
42101-2771
Phone Number
270-901-5000
Fax Number
270-842-5268
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
0197 (Kentucky)
Definition
Definition to come...
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