Doctor Name: | MRS. KRISTINA LOUISE SISCO |
NPI Number: | 1497147516 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 1806 |
Business Practice Address: | 224 W Graham Ave Lake Elsinore, CA - 925303740 |
Business Phone Number: | 9513181351 |
Business Fax Number: | 8663406736 |
Mailing Address: | 29163 Sundial Cir, MENIFEE |
State: | CA |
Postal Code: | 925847362 |
Phone Number: | 8588299838 |
Fax Number: | 9518273202 |
NPI Enumeration Date: | 02/26/2015 |
NPI Last Update Date: | 02/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 1806 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |