Jacob Aaron Cisco, PSS
Jacob Aaron Cisco, PSS is a Peer Specialist in Louisa, Kentucky. Practices as a sole proprietor. Licensed in Kentucky.
- Licensed in
- KY
- In the registry since
- 2024
Practice location Address checks out
125 S Main Cross StLouisa, KY 41230-1065
Phone: (606) 638-0938
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Peer Specialist (primary) | Taxonomy 175T00000X (KY) |
|---|
Record details
| NPI number | 1760211163 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PSS |
| Sole proprietor | Yes |
| NPI enumerated | August 1, 2024 |
| Last updated in NPPES | August 1, 2024 |
| Certification date | August 1, 2024 |
| Mailing address | 125 S Main Cross St, Louisa, KY 41230-1065 |
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