| Doctor Name: | ANN FISHER |
| NPI Number: | 1063636603 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | 871 |
| Business Practice Address: | 1200 S Willow Ave Cookeville, TN - 385064157 |
| Business Phone Number: | 9314324123 |
| Business Fax Number: | 9314324605 |
| Mailing Address: | 118 N Church St, MURFREESBORO |
| State: | TN |
| Postal Code: | 371303636 |
| Phone Number: | 6152782241 |
| Fax Number: | 6159049182 |
| NPI Enumeration Date: | 04/13/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 871 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |