Doctor Name: | MRS. RACHEL A FISHMAN |
NPI Number: | 1013292283 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.A., LAPC, NCC |
License Number: | APC003170 |
Business Practice Address: | 595 Colonial Park Dr Suite 102 Roswell, GA - 300753797 |
Business Phone Number: | 6785343824 |
Business Fax Number: | |
Mailing Address: | 595 Colonial Park Dr, Suite 102 ROSWELL |
State: | GA |
Postal Code: | 300753797 |
Phone Number: | 6785343824 |
Fax Number: | |
NPI Enumeration Date: | 10/19/2011 |
NPI Last Update Date: | 10/19/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | APC003170 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |