| Cassandra Sissom, LPC, LCPC | |
|
103 Pine Hollow Ln, Collinsville, IL 62234-4784 | |
| (314) 479-4564 | |
| Not Available |
| Full Name | Cassandra Sissom |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 103 Pine Hollow Ln, Collinsville, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427460906 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | 2016036039 (Missouri) | Primary |
| Entity Name | Grow Healthcare Group Pa |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1245845932 PECOS PAC ID: 3476961368 Enrollment ID: O20220414000139 |
| Mailing Address | Practice Location Address |
|---|---|
| Cassandra Sissom, LPC, LCPC 103 Pine Hollow Ln, Collinsville, IL 62234-4784 Ph: (314) 479-4564 | Cassandra Sissom, LPC, LCPC 103 Pine Hollow Ln, Collinsville, IL 62234-4784 Ph: (314) 479-4564 |
Darcene Rose Dowling, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia St, Collinsville, IL 62234 Phone: 618-345-9536 | |
Benjamin Clark, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia St, Collinsville, IL 62234 Phone: 618-345-9536 | |
Ms. Danica Lee Ann Geaslin Byler, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 Valley View Dr, Collinsville, IL 62234 Phone: 618-540-9677 | |
Ms. Kimberly M Monk, Counselor Medicare: Not Enrolled in Medicare Practice Location: 539 Parkside Commons Ct, Collinsville, IL 62234 Phone: 618-530-0859 | |
Mrs. Carrie Ann Seehausen, MA, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1126 Olive St, Collinsville, IL 62234 Phone: 314-497-4409 | |
Elizabeth Dawn Steele, Counselor Medicare: Not Enrolled in Medicare Practice Location: 123 Saint Louis Rd, Collinsville, IL 62234 Phone: 618-310-6658 | |
Mrs. Judy P Sledge, LCPC CEAP Counselor Medicare: Not Enrolled in Medicare Practice Location: 2014 Vandalia Ave, Family Life Consultants, Collinsville, IL 62234 Phone: 618-345-9536 Fax: 618-345-9587 |