Bobby Sisk, PRSS
Peer Specialist in Charleston, WV. Individual provider (NPI-1).
NPI number1124884580
StatusActive
Last updated in NPPESFeb 23, 2024
Details
- NPI
- 1124884580
- Entity type
- Individual (NPI-1)
- Name
- Bobby Sisk
- Credential
- PRSS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2024
- Certification date
- Feb 23, 2024
- Last updated
- Feb 23, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 175T00000X | Peer Specialist | – | – | Yes |
Practice location
102 Patrick Street PlzCharleston, WV 25387-2444
Phone 304-233-3200
Mailing address
102 Patrick Street PlzCharleston, WV 25387-2444
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All 111 Peer Specialist providers in Charleston · All 9,831 providers in Charleston
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