CHARLES WILLIAM CISSNA

BOWLING GREEN, KY
NPI1639249311
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: KY  0197)
Enumeration Date2006-11-09
Last Update Date2007-07-09
Business Address
CHARLES WILLIAM CISSNA LPCA
822 WOODWAY ST
BOWLING GREEN, KY 42101-2771
Phone number: 270-901-5000
Mailing Address
CHARLES WILLIAM CISSNA LPCA
207 COLLEGE ST
HORSE CAVE, KY 42749-1210
Phone number: 270-901-5000
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