person
Melissa M Sisco, LPC
Professional Counselor in Southaven, Mississippi
NPI 1700830122

Melissa M Sisco is a Professional Counselor based in Southaven, MS and is specialized in Professional. Melissa M Sisco practices in Southaven, MS and has the professional credentials of LPC. The NPI Number for Melissa M Sisco is 1700830122 and holds a License No. LPC0000000571 (Mississippi).

The current practice location address for Melissa M Sisco is 6858 Swinnea Rd Bldg 4, Southaven, MS and can be reached out via phone at 662-772-5937 and via fax at 662-772-5940.

Location: 6858 Swinnea Rd Bldg 4, Southaven, MS, 38671-9493
person
Provider Profile Details
NPI Number
1700830122
Provider Name
Melissa M Sisco
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
6858 Swinnea Rd Bldg 4, Southaven, MS, 38671-9493
Phone Number
662-772-5937
Fax Number
662-772-5940
Provider Enumeration Date
05/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
4121026 01 TN BCBS OF TN PROVIDER #
252567000 01 TN MAGELLAN
institution
Provider Business Practice Location Address Details
Address
6858 Swinnea Rd Bldg 4
City
State
Zip
38671-9493
Phone Number
662-772-5937
Fax Number
662-772-5940
person
Provider Business Mailing Address Details
Address
6858 Swinnea Rd Bldg 4
City
State
Zip
38671-9493
Phone Number
662-772-5937
Fax Number
662-772-5940
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LPC0000000571 (Tennessee)
Definition
Definition to come...
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