Doctor Name: | MR. ANDREW B FISHER |
NPI Number: | 1023350576 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPCC |
License Number: | KY-0305 |
Business Practice Address: | 225 Highway 2227 Somerset, KY - 425031580 |
Business Phone Number: | 6066780421 |
Business Fax Number: | |
Mailing Address: | Po Box 1429, Sunrise Children's Services MT WASHINGTON |
State: | KY |
Postal Code: | 400471429 |
Phone Number: | 6066780421 |
Fax Number: | |
NPI Enumeration Date: | 03/22/2013 |
NPI Last Update Date: | 02/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | KY-0305 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KY |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |