Doctor Name: | PEGGY BISSING |
NPI Number: | 1346662640 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC LCDC |
License Number: | 12065 |
Business Practice Address: | 18534 Forty Six Pkwy Spring Branch, TX - 780706876 |
Business Phone Number: | 2102869334 |
Business Fax Number: | |
Mailing Address: | 18534 Forty Six Pkwy, SPRING BRANCH |
State: | TX |
Postal Code: | 780706876 |
Phone Number: | 2102869334 |
Fax Number: | |
NPI Enumeration Date: | 01/06/2014 |
NPI Last Update Date: | 03/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 12065 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |