Vanessa Hissam
Counselor, Mental Health in Muncie, IN. Individual provider (NPI-1).
NPI number1760141964
StatusActive
Last updated in NPPESDec 15, 2021
Details
- NPI
- 1760141964
- Entity type
- Individual (NPI-1)
- Name
- Vanessa Hissam
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 15, 2021
- Certification date
- Dec 8, 2021
- Last updated
- Dec 15, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
3700 W Kilgore AveMuncie, IN 47304-4810
Phone 765-730-4755
Mailing address
3700 W Kilgore AveMuncie, IN 47304-4810
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