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Contact Information

JERILYN M SISICH
327 OKANOGAN AVE
WENATCHEE, WA98801
 Phone: 509-662-9673
 Fax: 509-662-9441
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for JERILYN M SISICH · (Female)

NPI # 1104772219
Status Active
Credentials
Entity Individual
Enumeration date 03/10/2026
Last updated 03/10/2026 - About 3 months ago
Sole proprietor 1 No
Identifiers
  • WA License # CO61631286
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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