Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jacqueline Ann Cisternino, CPSS

Individual provider Peer Specialist · NPI 1124799739

Jacqueline Ann Cisternino, CPSS is a Peer Specialist in Waterford, Michigan. Practices as a sole proprietor. Registered with an NPI since 2021.

In the registry since
2021
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Practice location Address checks out

279 Summit Dr
Waterford, MI 48328-3364
Phone: (248) 724-6185
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Peer Specialist (primary) Taxonomy 175T00000X

Record details

NPI number1124799739
Entity typeIndividual (Type 1)
GenderFemale
Credentials CPSS
Sole proprietorYes
NPI enumeratedSeptember 23, 2021
Last updated in NPPESSeptember 23, 2021
Certification dateSeptember 23, 2021

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