NPI | 1629834015 |
---|---|
Doing Business As | TREY KISSACK COUNSELING |
Entity Type | Organization |
Authorized Contact | TREY KISSACK Mental Health Practicitioner 308-850-8862 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-02-23 |
Last Update Date | 2024-02-23 |